CARDIOVASCULAR NCLEX TEST PAPER 2026/2027
QUESTIONS AND SOLUTIONS RATED A+
✔✔11) When administered a thrombolytic drug to the client experiencing an MI, the
nurse explains to him that the purpose of this drug is to:
1.Help keep him well hydrated
2.Dissolve clots he may have
3.Prevent kidney failure
4.Treat potential cardiac arrhythmias. - ✔✔2. Dissolve clots he may have
Thrombolytic drugs are administered within the first 6 hours after onset of a MI to lyse
clots and reduce the extent of myocardial damage.
✔✔12) When interpreting an ECG, the nurse would keep in mind which of the following
about the P wave? Select all that apply.
1.Reflects electrical impulse beginning at the SA node
2.Indicated electrical impulse beginning at the AV node
3.Reflects atrial muscle depolarization
4.Identifies ventricular muscle depolarization
5.Has duration of normally 0.11 seconds or less. - ✔✔1,3,5 In a client who has had an
ECG, the P wave represents the activation of the electrical impulse in the SA node,
which is then transmitted to the AV node. In addition, the P wave represents atrial
muscle depolarization, not ventricular depolarization. The normal duration of the P wave
is 0.11 seconds or less in duration and 2.5 mm or more in height.
✔✔13) A client has driven himself to the ER. He is 50 years old, has a history of
hypertension, and informs the nurse that his father died of a heart attack at 60 years of
age. The client is presently complaining of indigestion. The nurse connects him to an
ECG monitor and begins administering oxygen at 2 L/minute per NC. The nurse's next
action would be to:
1.Call for the doctor
2.Start an intravenous line
3.Obtain a portable chest radiograph
4.Draw blood for laboratory studies - ✔✔2. .Start an intravenous line
Advanced cardiac life support recommends that at least one or two intravenous lines be
inserted in one or both of the antecubital spaces. Calling the physician, obtaining a
portable chest radiograph, and drawing blood are important but secondary to starting
the intravenous line.
✔✔14) The nurse receives emergency laboratory results for a client with chest pain and
immediately informs the physician. An increased myoglobin level suggests which of the
following?
1.Cancer
2.Hypertension
3.Liver disease
, 4.Myocardial infarction - ✔✔4.
Detection of myoglobin is one diagnostic tool to determine whether myocardial damage
has occurred. Myoglobin is generally detected about one hour after a heart attack is
experienced and peaks within 4 to 6 hours after infarction (Remember, less than 90
mg/L is normal).
✔✔15) When teaching a client about propranolol hydrochloride, the nurse should base
the information on the knowledge that propranolol hydrochloride:
1.Blocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial
contractility, and conduction.
2.Increases norepinephrine secretion and thus decreases blood pressure and heart
rate.
3.Is a potent arterial and venous vasodilator that reduces peripheral vascular resistance
and lowers blood pressure.
4.Is an angiotensin-converting enzyme inhibitor that reduces blood pressure by blocking
the conversion of angiotensin I to angiotensin II. - ✔✔1.
Propranolol hydrochloride is a beta-adrenergic blocking agent. Actions of propranolol
hydrochloride include reducing heart rate, decreasing myocardial contractility, and
slowing conduction.
✔✔16) The most important long-term goal for a client with hypertension would be to:
1.Learn how to avoid stress
2.Explore a job change or early retirement
3.Make a commitment to long-term therapy
4.Control high blood pressure - ✔✔.3.
Compliance is the most critical element of hypertensive therapy. In most cases,
hypertensive clients require lifelong treatment and their hypertension cannot be
managed successfully without drug therapy. Stress management and weight
management are important components of hypertension therapy, but the priority goal is
related to compliance.
✔✔17) Hypertension is known as the silent killer. This phrase is associated with the fact
that hypertension often goes undetected until symptoms of other system failures occur.
This may occur in the form of:
1.Cerebrovascular accident
2.Liver disease
3.Myocardial infarction
4.Pulmonary disease - ✔✔1.
Hypertension is referred to as the silent killer for adults, because until the adult has
significant damage to other systems, the hypertension may go undetected. CVA's can
be related to long-term hypertension. Liver or pulmonary disease is generally not
associated with hypertension. Myocardial infarction is generally related to coronary
artery disease.
QUESTIONS AND SOLUTIONS RATED A+
✔✔11) When administered a thrombolytic drug to the client experiencing an MI, the
nurse explains to him that the purpose of this drug is to:
1.Help keep him well hydrated
2.Dissolve clots he may have
3.Prevent kidney failure
4.Treat potential cardiac arrhythmias. - ✔✔2. Dissolve clots he may have
Thrombolytic drugs are administered within the first 6 hours after onset of a MI to lyse
clots and reduce the extent of myocardial damage.
✔✔12) When interpreting an ECG, the nurse would keep in mind which of the following
about the P wave? Select all that apply.
1.Reflects electrical impulse beginning at the SA node
2.Indicated electrical impulse beginning at the AV node
3.Reflects atrial muscle depolarization
4.Identifies ventricular muscle depolarization
5.Has duration of normally 0.11 seconds or less. - ✔✔1,3,5 In a client who has had an
ECG, the P wave represents the activation of the electrical impulse in the SA node,
which is then transmitted to the AV node. In addition, the P wave represents atrial
muscle depolarization, not ventricular depolarization. The normal duration of the P wave
is 0.11 seconds or less in duration and 2.5 mm or more in height.
✔✔13) A client has driven himself to the ER. He is 50 years old, has a history of
hypertension, and informs the nurse that his father died of a heart attack at 60 years of
age. The client is presently complaining of indigestion. The nurse connects him to an
ECG monitor and begins administering oxygen at 2 L/minute per NC. The nurse's next
action would be to:
1.Call for the doctor
2.Start an intravenous line
3.Obtain a portable chest radiograph
4.Draw blood for laboratory studies - ✔✔2. .Start an intravenous line
Advanced cardiac life support recommends that at least one or two intravenous lines be
inserted in one or both of the antecubital spaces. Calling the physician, obtaining a
portable chest radiograph, and drawing blood are important but secondary to starting
the intravenous line.
✔✔14) The nurse receives emergency laboratory results for a client with chest pain and
immediately informs the physician. An increased myoglobin level suggests which of the
following?
1.Cancer
2.Hypertension
3.Liver disease
, 4.Myocardial infarction - ✔✔4.
Detection of myoglobin is one diagnostic tool to determine whether myocardial damage
has occurred. Myoglobin is generally detected about one hour after a heart attack is
experienced and peaks within 4 to 6 hours after infarction (Remember, less than 90
mg/L is normal).
✔✔15) When teaching a client about propranolol hydrochloride, the nurse should base
the information on the knowledge that propranolol hydrochloride:
1.Blocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial
contractility, and conduction.
2.Increases norepinephrine secretion and thus decreases blood pressure and heart
rate.
3.Is a potent arterial and venous vasodilator that reduces peripheral vascular resistance
and lowers blood pressure.
4.Is an angiotensin-converting enzyme inhibitor that reduces blood pressure by blocking
the conversion of angiotensin I to angiotensin II. - ✔✔1.
Propranolol hydrochloride is a beta-adrenergic blocking agent. Actions of propranolol
hydrochloride include reducing heart rate, decreasing myocardial contractility, and
slowing conduction.
✔✔16) The most important long-term goal for a client with hypertension would be to:
1.Learn how to avoid stress
2.Explore a job change or early retirement
3.Make a commitment to long-term therapy
4.Control high blood pressure - ✔✔.3.
Compliance is the most critical element of hypertensive therapy. In most cases,
hypertensive clients require lifelong treatment and their hypertension cannot be
managed successfully without drug therapy. Stress management and weight
management are important components of hypertension therapy, but the priority goal is
related to compliance.
✔✔17) Hypertension is known as the silent killer. This phrase is associated with the fact
that hypertension often goes undetected until symptoms of other system failures occur.
This may occur in the form of:
1.Cerebrovascular accident
2.Liver disease
3.Myocardial infarction
4.Pulmonary disease - ✔✔1.
Hypertension is referred to as the silent killer for adults, because until the adult has
significant damage to other systems, the hypertension may go undetected. CVA's can
be related to long-term hypertension. Liver or pulmonary disease is generally not
associated with hypertension. Myocardial infarction is generally related to coronary
artery disease.
