NCLEX Cardiac Exam Questions & Answers

The nurse in the telemetry unit explains two nonpharmacological treatments such as ___________, or ___________, can be used to treat dysrhythmias. A) ECG; pacemaker B) Cardioversion; defibrillation C) Aspirin; Plavix D) Exercise; stress test - B The client is scheduled for implantable cardioverter defibrillators (ICD) for treatment of a dysrhythmia. The nurse explains that the action of this procedure is to: A) Trigger electrical impulses to the heart. B) Take over SA node function. C) Block AV node transmission of impulses. D) Increase ventricular conduction. - A The nurse recognizes the action of beta blockers for treatment of dysrhythmias is: A) Positive inotropic effect. B) Negative inotropic effect. C) Positive chronotropic effect. D) Negative chronotropic effect. - D A client with a diagnosis of cardiac dysrhythmias and a history of type I diabetes mellitus is placed on propranolol therapy. The client asks the nurse if the drug will affect insulin needs. The best response by the nurse would be that: A) The drug will have no effect on insulin needs. B) The drug might cause hypoglycemia. C) The drug could cause hyperglycemia. D) The client should ask the physician this question. - B The nurse discusses mineral therapy with a client diagnosed with atrial fibrillation. Which of the following deficiencies will the nurse most likely discuss with the client? A) Iron B) Calcium C) Magnesium D) Sodium - C The nurse adjusts the care plan of a client of Asian descent who is receiving propranolol to include increased monitoring of: A) Heart rate. B) Blood pressure. D) Glucose. C) Potassium. - A When planning care for a client receiving treatment for cardiac dysrhythmias, an appropriate client outcome would be: A) The client will avoid use of caffeine during therapy. B) The client will maintain heart rate below 60 beats per minute. C) The client will limit fluid intake to 1000 ml/day. D) The client will limit cigarettes to 15/day. - A Which of the following signs and symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm? A) Abdominal pain. B) Absent pedal pulses. C) Chest pain. D) Lower back pain. - D What is the most common cause of abdominal aortic aneurysm? A) Atherosclerosis B) DM C) HPN D) Syphili - A n which of the following areas is an abdominal aortic aneurysm most commonly located? A) Distal to the iliac arteries B) Distal to the renal arteries C) Adjacent to the aortic branch D) Proximal to the renal arteries - B A pulsating abdominal mass usually indicates which of the following conditions? A) Abdominal aortic aneurysm B) Enlarged spleen C) Gastric distention D) Gastritis - A What is the most common symptom in a client with abdominal aortic aneurysm? A) Abdominal pain B) Diaphoresis C) Headache D) Upper back pain - A