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Nursing Examination Revision Guide Cardiovascular & Critical Care

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A patient in hypovolemic shock will most likely exhibit which early sign? A. Decreased heart rate B. Warm flushed skin C. Tachycardia D. Bradycardia Rationale: In hypovolemic shock, the body compensates for reduced circulating volume by increasing heart rate to maintain cardiac output. 2. Which medication class is commonly used 1/ file:///C:/JORAM NJERU PRIVATE PITCH/AA pdf edited/nursing_ 22 3/15/26, 4:07 AM Nursing Revision Guide as first-line therapy for hypertension? A. Beta blockers B. ACE inhibitors C. Diuretics D. Calcium channel blockers Rationale: Thiazide diuretics reduce blood volume and lower blood pressure. 3. Which symptom is most commonly associated with left-sided heart failure? A. Peripheral edema B. Pulmonary congestion C. Jugular vein distention D. Hepatomegaly Rationale: Blood backs up into the lungs causing pulmonary congestion and dyspnea.

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NCLEX-RN
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NCLEX-RN

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3/15/26, 4:07 AM Nursing Revision Guide




Nursing Examination Revision Guide

Cardiovascular & Critical Care


1. A patient in hypovolemic shock will most
likely exhibit which early sign?

A. Decreased heart rate
B. Warm flushed skin
C. Tachycardia
D. Bradycardia

Rationale: In hypovolemic shock, the body
compensates for reduced circulating volume by
increasing heart rate to maintain cardiac
output.

2. Which medication class is commonly used
file:///C:/JORAM NJERU PRIVATE PITCH/AA pdf edited/nursing_revision.html 1/
22

,3/15/26, 4:07 AM Nursing Revision Guide


as first-line therapy for hypertension?

A. Beta blockers
B. ACE inhibitors
C. Diuretics
D. Calcium channel blockers

Rationale: Thiazide diuretics reduce blood
volume and lower blood pressure.

3. Which symptom is most commonly
associated with left-sided heart failure?

A. Peripheral edema
B. Pulmonary congestion
C. Jugular vein distention
D. Hepatomegaly

Rationale: Blood backs up into the lungs
causing pulmonary congestion and dyspnea.

file:///C:/JORAM NJERU PRIVATE PITCH/AA pdf edited/nursing_revision.html 2/
22

, 3/15/26, 4:07 AM Nursing Revision Guide


4. Which electrolyte imbalance increases the
risk of cardiac arrhythmias?




file:///C:/JORAM NJERU PRIVATE PITCH/AA pdf edited/nursing_revision.html 3/
22

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