NCLEX 10000 Cardiovascular
An 80-year-old client is admitted with nausea and vomiting. The client has a history of
heart failure and is being treated with digoxin. The client has been nauseated for a week
and began vomiting 2 days ago. Laboratory values indicate hypokalemia. Because of
these clinical findings, the nurse should assess the client carefully for: - digoxin toxicity
A client is admitted to the hospital through the emergency department with chest pain.
Which intervention is the priority? - assessing troponin 1 levels
A client is receiving nitroglycerin ointment to treat angina pectoris. The nurse evaluates
the therapeutic effectiveness of this drug by assessing the client's response and
checking for adverse effects. Which vital sign is most likely to reflect an adverse effect
of nitroglycerin? - blood pressure 84/52 mm Hg
An older adult takes two 81-mg aspirin tablets daily to prevent a heart attack. The client
reports having a constant "ringing" in both ears. How should the nurse respond to the
client's comment? - explain to the client that the "ringing" may be related to the aspirin
A client who has been experiencing angina has a new prescription for nitroglycerin. The
nurse should instruct the client to report having which potential side effect of
nitroglycerin? - headache
The nurse is taking a nursing history from a client prior to surgery. Which information in
the client's history would have a significant impact on the client's recovery
postoperatively? The client: - has smoked 1 pack of cigarettes a day for 12 years
A client has been diagnosed with atrial fibrillation. The health care provider (HCP)
prescribed warfarin to be taken on a daily basis. The nurse instructs the client to avoid
using which over-the-counter medication while taking warfarin? - aspirin
A 68-year-old client on day 2 after hip surgery has no cardiac history but reports having
chest heaviness. The nurse should first: - inquire about the onset, duration, severity,
and precipitating factors of the heaviness
What is a priority nursing assessment in the first 24 hours after admission of the client
with a thrombotic stroke? - pupil size and pupillary response
What mechanical device increases coronary perfusion and cardiac output and
decreases myocardial workload and oxygen consumption in a client with cardiogenic
shock? - intra-aortic balloon pump
A client with a history of coronary artery disease (CAD) has been diagnosed with
peripheral arterial disease. The health care provider (HCP) started the client on
, pentoxifylline once daily. Approximately 1 hour after receiving the initial dose of
pentoxifylline, the client reports having chest pain. The nurse should first: - inform the
HCP
A nurse is caring for a client with type 2 diabetes who has had a myocardial infarction
(MI) and is reporting nausea, vomiting, dyspnea, and substernal chest pain. Which of
the following is the priority intervention? - control the pain and support breathing and
oxygenation
Which information about sublingual nitroglycerin tablets should the nurse include when
instructing the client with angina? - store the tablets in a tight, light-resistant container.
A client with left-sided heart failure complains of increasing shortness of breath and is
agitated and coughing up pink-tinged, foamy sputum. The nurse should recognize these
findings as signs and symptoms of: - acute pulmonary edema
Which symptom should the nurse teach the client with unstable angina to report
immediately to the health care provider (HCP)? - a change in the pattern of the chest
pain
A nurse is evaluating a client who had a myocardial infarction (MI) 7 days earlier. Which
outcome indicates that the client is responding favorably to therapy? - the client
demonstrates ability to tolerate more activity without chest pain
Which food should the nurse teach a client with heart failure to limit when following a 2-
gram sodium diet? - canned tomato juice
The nurse is assessing a cliet who has a history of peripheral vascular disease. The
nurse observes that the left great toe is black. The discoloration is likely a result of: -
gangrene
A physician admits a client to the health care facility for treatment of an abdominal aortic
aneurysm. When planning this client's care, which goal should the nurse keep in mind
as she formulates interventions? - stabilizing heart rate and blood pressure and easing
anxiety
What is the expected outcome of thrombolytic drug therapy for stroke? - dissolved
emboli
A client is receiving pentoxifylline for intermittent claudication. The nurse should
determine the effectiveness of the drug by asking if the client: - has less pain in the legs
A client is taking spironolactone to control her hypertension. Her serum potassium level
is [6 mEq/L (56mmol/L)]. For this client, the nurse's priority should be to assess her: -
ECG results
An 80-year-old client is admitted with nausea and vomiting. The client has a history of
heart failure and is being treated with digoxin. The client has been nauseated for a week
and began vomiting 2 days ago. Laboratory values indicate hypokalemia. Because of
these clinical findings, the nurse should assess the client carefully for: - digoxin toxicity
A client is admitted to the hospital through the emergency department with chest pain.
Which intervention is the priority? - assessing troponin 1 levels
A client is receiving nitroglycerin ointment to treat angina pectoris. The nurse evaluates
the therapeutic effectiveness of this drug by assessing the client's response and
checking for adverse effects. Which vital sign is most likely to reflect an adverse effect
of nitroglycerin? - blood pressure 84/52 mm Hg
An older adult takes two 81-mg aspirin tablets daily to prevent a heart attack. The client
reports having a constant "ringing" in both ears. How should the nurse respond to the
client's comment? - explain to the client that the "ringing" may be related to the aspirin
A client who has been experiencing angina has a new prescription for nitroglycerin. The
nurse should instruct the client to report having which potential side effect of
nitroglycerin? - headache
The nurse is taking a nursing history from a client prior to surgery. Which information in
the client's history would have a significant impact on the client's recovery
postoperatively? The client: - has smoked 1 pack of cigarettes a day for 12 years
A client has been diagnosed with atrial fibrillation. The health care provider (HCP)
prescribed warfarin to be taken on a daily basis. The nurse instructs the client to avoid
using which over-the-counter medication while taking warfarin? - aspirin
A 68-year-old client on day 2 after hip surgery has no cardiac history but reports having
chest heaviness. The nurse should first: - inquire about the onset, duration, severity,
and precipitating factors of the heaviness
What is a priority nursing assessment in the first 24 hours after admission of the client
with a thrombotic stroke? - pupil size and pupillary response
What mechanical device increases coronary perfusion and cardiac output and
decreases myocardial workload and oxygen consumption in a client with cardiogenic
shock? - intra-aortic balloon pump
A client with a history of coronary artery disease (CAD) has been diagnosed with
peripheral arterial disease. The health care provider (HCP) started the client on
, pentoxifylline once daily. Approximately 1 hour after receiving the initial dose of
pentoxifylline, the client reports having chest pain. The nurse should first: - inform the
HCP
A nurse is caring for a client with type 2 diabetes who has had a myocardial infarction
(MI) and is reporting nausea, vomiting, dyspnea, and substernal chest pain. Which of
the following is the priority intervention? - control the pain and support breathing and
oxygenation
Which information about sublingual nitroglycerin tablets should the nurse include when
instructing the client with angina? - store the tablets in a tight, light-resistant container.
A client with left-sided heart failure complains of increasing shortness of breath and is
agitated and coughing up pink-tinged, foamy sputum. The nurse should recognize these
findings as signs and symptoms of: - acute pulmonary edema
Which symptom should the nurse teach the client with unstable angina to report
immediately to the health care provider (HCP)? - a change in the pattern of the chest
pain
A nurse is evaluating a client who had a myocardial infarction (MI) 7 days earlier. Which
outcome indicates that the client is responding favorably to therapy? - the client
demonstrates ability to tolerate more activity without chest pain
Which food should the nurse teach a client with heart failure to limit when following a 2-
gram sodium diet? - canned tomato juice
The nurse is assessing a cliet who has a history of peripheral vascular disease. The
nurse observes that the left great toe is black. The discoloration is likely a result of: -
gangrene
A physician admits a client to the health care facility for treatment of an abdominal aortic
aneurysm. When planning this client's care, which goal should the nurse keep in mind
as she formulates interventions? - stabilizing heart rate and blood pressure and easing
anxiety
What is the expected outcome of thrombolytic drug therapy for stroke? - dissolved
emboli
A client is receiving pentoxifylline for intermittent claudication. The nurse should
determine the effectiveness of the drug by asking if the client: - has less pain in the legs
A client is taking spironolactone to control her hypertension. Her serum potassium level
is [6 mEq/L (56mmol/L)]. For this client, the nurse's priority should be to assess her: -
ECG results
