NCLEX Cardiovascular Exam 2021/2022 – Questions andAnswers
, NCLEX RN Cardiovascular Q&As 1
1. A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is
scheduled for cardiac catheterization. Which medication would need to be withheld for 24
hours before the procedure and for 48 hours after the procedure?
1. Glipizide
2. Metformin
3. Repaglinide
4. Regular insulin
2. A client who had cardiac surgery 24 hours ago has had a urine output averaging 20 mL/hour
for 2 hours. The client received a single bolus of 500 mL of intravenous fluid. Urine output for
the subsequent hour was 25 mL. Daily laboratory results indicate that the blood urea nitrogen
level is 45 mg/dL (16 mmol/L) and the serum creatinine level is 2.2 mg/dL (194 mcmol/L). On
the basis of these findings, the nurse would anticipate that the client is at risk for which
problem?
1. Hypovolemia
2. Acute kidney injury
3. Glomerulonephritis
4. Urinary tract infection
, NCLEX RN Cardiovascular Q&As 2
3. The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes
are regular. The PR interval is 0.16 seconds, and QRS complexes measure 0.06 seconds. The
overall heart rate is 64 beats/minute. Which action should the nurse take?
1. Check vital signs.
2. Check laboratory test results.
3. Notify the health care provider.
4. Continue to monitor for any rhythm change.
4. A client is wearing a continuous cardiac monitor, which begins to sound its alarm. The nurse
sees no electrocardiographic complexes on the screen. Which is the priority nursing action?
1. Call a code.
2. Call the health care provider.
3. Check the client's status and lead placement.
4. Press the recorder button on the electrocardiogram console.
5. The nurse is evaluating a client's response to cardioversion. Which assessment would be the
priority?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
, NCLEX RN Cardiovascular Q&As 3
6. The nurse is caring for a client who has just had implantation of an automatic internal
cardioverter-defibrillator. The nurse should assess which item based on priority?
1. Anxiety level of the client and family
2. Presence of a Medic-Alert card for the client to carry
3. Knowledge of restrictions on post-discharge physical activity
4. Activation status of the device, heart rate cutoff, and number of
shocks it is programmed to deliver
7. A client's electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The
PR interval is 0.14 seconds, the QRS complex measures 0.08 seconds, and the PP and RR
intervals are regular. How should the nurse correctly interpret this rhythm?
1. Sinus tachycardia
2. Sinus bradycardia
3. Sinus dysrhythmia
4. Normal sinus rhythm
8. The nurse is assessing the neurovascular status of a client who returned to the surgical nursing
unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the
nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission.
How should the nurse correctly interpret the client's neurovascular status?
1. The neurovascular status is normal because of increased blood
flow through the leg.
, NCLEX RN Cardiovascular Q&As 1
1. A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is
scheduled for cardiac catheterization. Which medication would need to be withheld for 24
hours before the procedure and for 48 hours after the procedure?
1. Glipizide
2. Metformin
3. Repaglinide
4. Regular insulin
2. A client who had cardiac surgery 24 hours ago has had a urine output averaging 20 mL/hour
for 2 hours. The client received a single bolus of 500 mL of intravenous fluid. Urine output for
the subsequent hour was 25 mL. Daily laboratory results indicate that the blood urea nitrogen
level is 45 mg/dL (16 mmol/L) and the serum creatinine level is 2.2 mg/dL (194 mcmol/L). On
the basis of these findings, the nurse would anticipate that the client is at risk for which
problem?
1. Hypovolemia
2. Acute kidney injury
3. Glomerulonephritis
4. Urinary tract infection
, NCLEX RN Cardiovascular Q&As 2
3. The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes
are regular. The PR interval is 0.16 seconds, and QRS complexes measure 0.06 seconds. The
overall heart rate is 64 beats/minute. Which action should the nurse take?
1. Check vital signs.
2. Check laboratory test results.
3. Notify the health care provider.
4. Continue to monitor for any rhythm change.
4. A client is wearing a continuous cardiac monitor, which begins to sound its alarm. The nurse
sees no electrocardiographic complexes on the screen. Which is the priority nursing action?
1. Call a code.
2. Call the health care provider.
3. Check the client's status and lead placement.
4. Press the recorder button on the electrocardiogram console.
5. The nurse is evaluating a client's response to cardioversion. Which assessment would be the
priority?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
, NCLEX RN Cardiovascular Q&As 3
6. The nurse is caring for a client who has just had implantation of an automatic internal
cardioverter-defibrillator. The nurse should assess which item based on priority?
1. Anxiety level of the client and family
2. Presence of a Medic-Alert card for the client to carry
3. Knowledge of restrictions on post-discharge physical activity
4. Activation status of the device, heart rate cutoff, and number of
shocks it is programmed to deliver
7. A client's electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The
PR interval is 0.14 seconds, the QRS complex measures 0.08 seconds, and the PP and RR
intervals are regular. How should the nurse correctly interpret this rhythm?
1. Sinus tachycardia
2. Sinus bradycardia
3. Sinus dysrhythmia
4. Normal sinus rhythm
8. The nurse is assessing the neurovascular status of a client who returned to the surgical nursing
unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the
nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission.
How should the nurse correctly interpret the client's neurovascular status?
1. The neurovascular status is normal because of increased blood
flow through the leg.
