NCLEX CARDIAC PRACTICE EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS |ALREADY GRADED
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a pt is receiving thrombolytic therapy with a continuous infusion of streptokinase.
The pt suddenly becomes extremely anxious with complaints of itching. A nurse
hears stridor and on examination of the pt notes generalized urticarial and
hypotension. Which of the following should be the priority action?
A. administer oxygen and protamine sulfate
B. stop the infusion and call the physician
C. cut the infusion rate in half and sit the pt up in bed
D. administer benadryl and continue the infusion slowly - Correct Answer-B
Which of the following pts is at greatest risk for digital toxicity?
A. a 25 y/o pt with congestive heart disease
B. a 50 y/o pt with CHF
C. a 60 y/o pt who had an MI
D. an 80 y/o pt with CHF - Correct Answer-D
Which of the following is a contraindication for digoxin administration?
A. BP of 140/90
B. HR>80
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C. HR<60
D. RR>18 - Correct Answer-C
The action of medication is inotropic when it:
A. decreases afterload
B. increases heart rate
C. increases the force of contraction
D. is uses to treat CHF - Correct Answer-C'
Which is the most important action for the nurse to take before administering
digoxin?
A. monitor the potassium level
B. assess the BP
C. evaluate urinary output
D. avoid giving with a thiazide diuretic - Correct Answer-A
The therapeutic drug level for digoxin is:
A. 0.1-2.0
B. 1.0-2.0
C. 0.1-0.5
D. 0.5-2.0 - Correct Answer-D
Blurred vision or halos are signs of:
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A. beta blocker toxicity
B. digoxin toxicity
C. diuretic toxicity
D. ACE inhibitor toxicity - Correct Answer-B
beta blockers should be avoided in which of the following conditions:
A. bronchoconstriction
B. hypertension
C. Angina
D. myocardial infarction - Correct Answer-A
You know that the action of nitrates is:
A. smooth muscle contraction
B. vasoconstriction
C. smooth muscle relaxation
D. increase preload - Correct Answer-C
A 50 y/o pt is prescribed to take nitrate each day for his condition. You know the
result of nitrate administration is:
A. decreased myocardial oxygen demand
B. increased myocardial oxygen demand
C. increased left ventricular end-diastolic volume
D. increased atrial pressure - Correct Answer-A
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