Cardiovascular NCLEX-RN Comprehensive Questions and ANswers 100% Accuracy| Updated 2024|A female client calls the nurse at the clinic and reports that ever since the vein ligation and stripping procedure was performed, she has been experiencing a sensatio
A female client calls the nurse at the clinic and reports that ever since the vein ligation and stripping procedure was performed, she has been experiencing a sensation as though the affected leg is falling asleep. The nurse should make which response to the client? 1, "Apply warm packs to the leg." 2."Keep the leg elevated as much as possible." 3."Contact your health care provider right away to report this problem." 4."This normally occurs after surgery and will subside when the, An ambulatory care nurse measures the blood pressure of a client and finds it to be 156/94 mm Hg. Which statement indicates the client needs additional education? 1."It is important that I limit protein intake." 2."I need to maintain a regular exercise program." 3."I understand that I need to avoid adding salt to foods." 4."It is important that I begin reducing and then maintaining weight.", A nurse identifies that a client is having occasional premature ventricular contractions (PVCs) on the cardiac monitor. The nurse reviews the client's laboratory results and determines that which result would be consistent with the observation? 1.Serum sodium level of 145 mEq/L 2.Serum chloride level of 98 mEq/L 3.Serum calcium level of 10 mg/dL 4.Serum potassium, A client's total cholesterol level is 344 mg/dL, low-density lipoprotein cholesterol (LDL-C) level is 164 mg/dL, and high-density lipoprotein cholesterol (HDL-C) level is 30 mg/dL. Based on analysis of the data, how should the nurse direct client teaching? 1.The client should maintain the current dietary regimen but increase activity level. 2.Results are inconclusive unless the triglyceride level is also screened, so teaching is not indicated at this time. 3.The client is at high risk for cardiovascular disease, and measures to modify all identified risk factors should be taught. 4.The client is at low risk for cardiovascular disease, so the client should be encouraged to continue to follow the current regimen., The nurse is concerned about the adequacy of peripheral tissue perfusion in the post-cardiac surgery client. Which action should the nurse include within the plan of care for this client? 1.Use the knee-gatch on the bed. 2.Cover the legs lightly when sitting in a chair. 3.Encourage the client to cross legs when sitting in a chair. 4.Provide pillows for the client to place under the knees as desired., The home health nurse is visiting a client who has had a prosthetic valve replacement for severe mitral valve stenosis. Which statement by the client reflects an understanding of specific postoperative care after this surgery? 1."I need to count my pulse every day." 2."I have to do deep breathing exercises every 2 hours." 3."I threw away my straight razor and bought an electric razor." 4."I have to go to the bathroom frequently because of my medication.", A nurse is providing postoperative care for a client who had a percutaneous insertion of an inferior vena cava filter and was on heparin therapy before surgery. The nurse should be most concerned about monitoring for which potential complications? 1.Bleeding and infection 2.Thrombosis and infection 3.Bleeding and wound dehiscence 4.Wound dehiscence and evisceration, The home care nurse has taught a client with a problem of inadequate cardiac output about helpful lifestyle adaptations to promote health. Which statement by the client best demonstrates an understanding of the information provided? 1."I will eat enough daily fiber to prevent straining at stool." 2."I will try to exercise vigorously to strengthen my heart muscle." 3."I will drink 3000 to 3500 mL of fluid daily to promote good kidney function." 4."Drinking 2 to 3 oz of liquor each night will promote blood flow by enlarging blood vessels.", A client has experienced an episode of pulmonary edema. The nurse determines that the client's respiratory status is improving after this episode if which breath sounds are noted? 1. Rhonchi 2. Wheezes 3. Crackles in the bases 4.Crackles throughout the lung fields, After instruction on the application of antiembolism stockings, the nurse determines that the client requires further teaching if which of these actions is performed? 1. The client puts on the stockings before getting out of bed. 2. The client bunches up the stockings for easier application. 3. The client ensures that stockings are pulled all the way up. 4. The client makes sure the rough seams of the stockings are on the outside., A nurse is assisting in admitting a client who has a diagnosis of hypothermia. The nurse anticipates that this client will exhibit which vital signs? 1.Increased heart rate and increased blood pressure 2. Increased heart rate and decreased blood pressure 3. Decreased heart rate and increased blood pressure 4. Decreased heart rate and decreased blood pressure, A client with angina has a 12-lead electrocardiogram taken during an episode of chest pain. The nurse should examine the tracing for which electrocardiographic (ECG) change caused by myocardial ischemia 1. Tall, peaked T waves 2. Prolonged PR interval 3. Widened QRS complex 4. ST segment elevation or depression, The nurse is giving discharge instructions to a client who has just undergone vein ligation and stripping. The nurse evaluates that the client understands activity and positioning limitations if the client states that which action is appropriate to do? 1. Walk for as long as possible each day. 2. Cross the legs at the ankle only, not at the knee. 3. Lie down with the legs elevated and avoid sitting. 4. Sit in a chair 3 times a day for 3 hours at a time, A client with angina complains that the anginal pain is prolonged, severe, and occurs at the same time each day, most often in the morning. On further assessment, the nurse notes that the pain occurs in the absence of precipitating factors. How would the nurse best describe this type of anginal pain? .1. Stable angina 2. Variant angina 3. Unstable angina 4. Nonanginal pain, The nurse is performing a health screening on a 54-year-old client. The client has a blood pressure of 118/78 mm Hg, total cholesterol level of 190 mg/dL, and fasting blood glucose level of 184 mg/dL. The nurse interprets this to mean that the client has which modifiable risk factor for coronary artery disease (CAD)? 1. Age 2. Hypertension 3. Hyperlipidemia 4. Glucose intolerance, Which is the priority assessment in the care of a client who is newly admitted to the hospital for acute arterial insufficiency of the left leg and moderate chronic arterial insufficiency of the right leg? 1. Monitor oxygen saturation with pulse oximetry. 2. Assess activity tolerance before and after exercise. 3. Observe the client's cardiac rhythm with telemetry. 4. Assess peripheral pulses with an ultrasonic Doppler device., A client with pulmonary edema has been receiving diuretic therapy. The client has a prescription for additional furosemide (Lasix) in the amount of 40 mg intravenous push. Knowing that the client will also be started on digoxin (Lanoxin), which laboratory result should the nurse review as the priority? 1. Sodium level 2. Digoxin level 3. Creatinine level 4. Potassium level, A client has been experiencing difficulty with completion of daily activities because of underlying cardiovascular disease, as evidenced by exertional fatigue and increased blood pressure. Which observation by the nurse best indicates client progress in meeting goals for this problem? 1. Ambulates 10 feet farther each day 2. Verbalizes the benefits of increasing activity 3. Chooses a healthy diet that meets caloric needs 4. Sleeps without awakening throughout the night, A nurse reading the operative record of a client who had cardiac surgery notes that the client's cardiac output immediately after surgery was 3.2 L/min. Evaluation of the cardiac output results leads the nurse to make which conclusion? 1. The cardiac output is above the normal range. 2. The cardiac output is below the normal range. 3. The cardiac output is in the low-normal range. 4. The cardiac output is in the high-normal range. The nurse is preparing to care for a client who will be arriving from the recovery room after an above-the-knee amputation. The nurse ensures that which is in the client's hospital room as a priority item? 1. Over-bed trapeze 2. Dry sterile dressings 3. Surgical tourniquet 4. Incentive spirometer, A chaotic small, irregular, disorganized cardiac pattern suddenly appears on a client's cardiac monitor. Which is the nurse's first action? 1. Check the blood pressure. 2. Call the health care provider. 3. Check the client and the chest leads. 4. Initiate cardiopulmonary resuscitation (CPR)., A hospitalized client is experiencing a decrease in blood pressure. The nurse plans care for the client, knowing that this change will have which primary effect on his or her heart? 1. Decreased heart rate 2. Increased contractility 3. Decreased myocardial blood flow 4. Increased resistance to electrical stimulation, The nurse is providing instructions to a client with a diagnosis of hypertension regarding high-sodium items to be avoided. The nurse instructs the client to avoid consuming which item? 1. Bananas 2. Broccoli 3. Antacids 4. Cantaloupe, A nurse is preparing to ambulate a client on the third day after cardiac surgery. What should the nurse plan to do to enable the client to best tolerate the ambulation? 1. Remove telemetry equipment. 2. Provide the client with a walker. 3. Premedicate the client with an analgesic. 4. Encourage the client to cough and breathe deeply., A client's electrocardiogram shows that the atrial and ventricular rhythms are irregular and there are no discernible P waves. The nurse recognizes that this pattern is associated with which condition? 1. Atrial flutter 2. Atrial fibrillation 3. Third-degree AV block 4. First-degree atrioventricular (AV) block.....
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cardiovascular nclex rn
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cardiovascular nclex rn questions and answers
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cardiovascular nclex rn questions and answers 100
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a female client calls the nurse at the clinic and
