A nurse is assisting a client who will wear a Holter monitor
for continuous cardiac monitoring over the next 24 hours.
Gives the client a device holder to wear around the waist
The nurse takes which of the following actions to assist
this client?
A client is admitted to the hospital with a diagnosis of
pericarditis. The nurse reviews the client's record for which
Pericardial friction rub
manifestation that ditterentiates pericarditis from other
cardiopulmonary problems?
A client diagnosed with angina pectoris returns to the
nursing unit after experiencing an angioplasty. The nurse
reinforces instructions to the client regarding the proce- "I need to adhere to my dietary restrictions."
dure and home care measures. Which statement by the
client indicates an understanding of the instructions?
A nurse is caring for a client with a diagnosis of myocardial
infarction (MI). The client reports chest pain. When the
Check the blood pressure and administer another nitro-
administration of a sublingual nitroglycerin tablet as pre-
glycerin tablet
scribed does not relieve the chest pain, the next nursing
action is to:
A client has just returned from the cardiac catheterization
laboratory. The left femoral vessel was used as the access
With the head of the bed elevated no more than 15 de-
site. After returning the client to bed and collecting initial
grees
data, the nurse places a sign above the bed stating that
the client should remain on bedrest:
A nurse understands that which of the following is a
Each rescue breath should be given over 1 second and
correct guideline for adult cardiopulmonary resuscitation
should produce a visible chest rise.
(CPR) for a health care provider?
A client complaining of chest pain has an as-needed (PRN)
prescription for sublingual nitroglycerin (Nitrostat). Be-
Blood pressure
fore administering the medication to the client, the nurse
should first check the client's:
, Cardiac NCLEX Test Questions and Answers Rated A
A nurse is assisting in caring for a client in the telemetry
unit and is monitoring the client for cardiac changes in-
ST-segment depression
dicative of hypokalemia. Which occurrence noted on the
cardiac monitor indicates the presence of hypokalemia?
A client has a history of left-sided heart failure. The nurse
would look for the presence of which of the following to Bilateral lung crackles
determine whether the problem is currently active?
The client scheduled for a right femoropopliteal bypass
graft is at risk for compromised tissue perfusion to the
Marking the location of the pedal pulses on the right leg
extremity. The nurse takes which action before surgery to
address this risk?
A client seeks medical attention for intermittent episodes
in which the fingers of both hands become cold, pale, and
numb. The client states that they then become reddened
Ingestion of cottee or chocolate
and swollen with a throbbing, achy pain. The nurse further
collects data on the client to see whether these episodes
occur with:
A nurse is caring for a client who is developing pulmonary
edema. The client exhibits respiratory distress, but the
Place the client in high-Fowler's position.
blood pressure is unchanged from the client's baseline. As
an immediate action before help arrives, the nurse would:
A nurse is using a stethoscope to listen to the client's heart
and hears this sound. (Click on the sound icon.) To assist in
Palpate the carotid pulse for a pulsation
identifying the sound, the nurse should take which initial
best action?
A nurse is caring for a client with Buerger's disease. Which
finding would the nurse determine is a potential compli- Numbness and tingling in the legs
cation associated with this disease?