Cardiac Case Study – NGN
(Next Generation NCLEX)
Practice | Verified Questions
& Clinical Reasoning (2026
Update)
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Cardiac Case Study – NGN (Next Generation NCLEX) Practice _ Verified Questions & Clinical Reasoning (2025 Update).pdf
, Cardiac Case Study NGN 2026-03-04
A 49-year-old client is seen in clinic for a follow-up visit since starting
enalapril for primary hypertension at her last visit 1 month ago. She reports
nausea and diarrhea for the past few weeks and is not sure what is causing
these symptoms because she has implemented various lifestyle changes. She
has a medical history significant for dyslipidemia, which is treated with
simvastatin, and type 2 diabetes mellitus, which is managed with insulin.
Since her last visit, she has increased exercise, uses potassium supplements
instead of sodium when cooking, and has eliminated alcohol. Vital signs are
temperature of 98.6°F (37°C), heart rate of 80 beats per minute, respiratory
rate of 20 breaths per minute, blood pressure of 126/78, and pulse oximetry
reading of 97%.
Laboratory Value
Today's Result
Result From 1 Month Ago
Reference Range
Alanine aminotransferase (ALT)
17 U/L
19 U/L
4 to 36 U/L
Aspartate aminotransferase (AST)
20 U/L
21 U/L
0 to 35 U/L
Serum creatinine (Scr)
0.9 mg/dL
1.0 mg/dL
0.5 to 1.1 mg/dL
Potassium
5.2 mEq/L
4.9 mEq/L
3.5 to 5.0 mEq/L
Page 2 Cardiac Case Study NGN.pdf