3/21/25, 2:45 NCLEX-RN: Cardiovascular Flashcards |
PM
NCLEX-RN: CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (9)
A client admitted to the hospital with ANS: 4
chest pain and a history of type 2 Rationale: Metformin (Glucophage) needs to be withheld 24 hours before and for 48
diabetes hours after cardiac catheterization because of the injection of contrast medium
mellitus is scheduled for cardiac during the procedure. If the contrast medium affects kidney function, with
catheterization. Which medication would metformin in the system, the client would be at increased risk for lactic acidosis.
need to be withheld for 24 hours The
before the procedure and for 48 hours medications in the remaining options do not need to be withheld 24 hours before
after the procedure? and 48
hours after cardiac catheterization.
1. Regular insulin
2.Glipizide (Glucotrol)
3.Repaglinide (Prandin)
4. Metformin (Glucophage)
1/
7
, 3/21/25, 2:45 NCLEX-RN: Cardiovascular Flashcards |
PM
The nurse in a medical unit is caring for a ANS: 1, 2, 3, 4
client with heart failure. The client Rationale: Pulmonary edema is a life-threatening event that can result from severe
suddenly develops extreme dyspnea, heart failure. In pulmonary edema, the left ventricle fails to eject sufficient blood,
tachycardia, and pressure increases in the lungs because of the accumulated blood. Oxygen is
and lung crackles and the nurse suspects always prescribed, and the client is placed in a high Fowler's position to ease the
pulmonary edema. The nurse immediately work of breathing. Furosemide, a rapid-acting diuretic, will eliminate accumulated
asks another nurse to contact the health fluid. A Foley catheter is inserted to measure output accurately. Intravenously
care provider and prepares to implement administered morphine sulfate reduces venous return (preload), decreases anxiety,
which priority interventions? Select all that and also reduces the work of breathing. Transporting the client to the coronary care
apply. unit is not a priority intervention. In fact, this may not be necessary at all if the client's
response to treatment is successful.
1. Administering oxygen
2.Inserting a Foley catheter
3.Administering furosemide (Lasix)
4.Administering morphine
sulfate intravenously
5.Transporting the client to the coronary
care unit
6.Placing the client in a low Fowler's side-
lying positio
A client with myocardial infarction suddenly ANS: 2
becomes tachycardic, shows signs of air Rationale: Pulmonary edema is characterized by extreme breathlessness, dyspnea,
hunger, and begins coughing frothy, pink- air hunger, and the production of frothy, pink-tinged
tinged sputum. Which finding would the sputum. Auscultation of the lungs reveals crackles. Rhonchi and diminished breath
nurse anticipate when auscultating the sounds are not associated with pulmonary edema.
client's breath sounds? Stridor is a crowing sound associated with laryngospasm or edema of the upper
airway.
1. Stridor
2.Crackles
3.Scattered rhonchi
4. Diminished breath sounds
A client with myocardial infarction is ANS: 2
developing cardiogenic shock. Because of Rationale: Classic signs of cardiogenic shock as they relate to myocardial ischemia
the risk of myocardial ischemia, what include low blood pressure and tachycardia. The
condition should the nurse carefully assess central venous pressure would rise as the backward effects of the severe left
the client for? ventricular failure became apparent. Dysrhythmias commonly occur as a result of
700
decreased oxygenation and severe damage to greater than 40% of the myocardium.
2/
7
PM
NCLEX-RN: CARDIOVASCULAR EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (9)
A client admitted to the hospital with ANS: 4
chest pain and a history of type 2 Rationale: Metformin (Glucophage) needs to be withheld 24 hours before and for 48
diabetes hours after cardiac catheterization because of the injection of contrast medium
mellitus is scheduled for cardiac during the procedure. If the contrast medium affects kidney function, with
catheterization. Which medication would metformin in the system, the client would be at increased risk for lactic acidosis.
need to be withheld for 24 hours The
before the procedure and for 48 hours medications in the remaining options do not need to be withheld 24 hours before
after the procedure? and 48
hours after cardiac catheterization.
1. Regular insulin
2.Glipizide (Glucotrol)
3.Repaglinide (Prandin)
4. Metformin (Glucophage)
1/
7
, 3/21/25, 2:45 NCLEX-RN: Cardiovascular Flashcards |
PM
The nurse in a medical unit is caring for a ANS: 1, 2, 3, 4
client with heart failure. The client Rationale: Pulmonary edema is a life-threatening event that can result from severe
suddenly develops extreme dyspnea, heart failure. In pulmonary edema, the left ventricle fails to eject sufficient blood,
tachycardia, and pressure increases in the lungs because of the accumulated blood. Oxygen is
and lung crackles and the nurse suspects always prescribed, and the client is placed in a high Fowler's position to ease the
pulmonary edema. The nurse immediately work of breathing. Furosemide, a rapid-acting diuretic, will eliminate accumulated
asks another nurse to contact the health fluid. A Foley catheter is inserted to measure output accurately. Intravenously
care provider and prepares to implement administered morphine sulfate reduces venous return (preload), decreases anxiety,
which priority interventions? Select all that and also reduces the work of breathing. Transporting the client to the coronary care
apply. unit is not a priority intervention. In fact, this may not be necessary at all if the client's
response to treatment is successful.
1. Administering oxygen
2.Inserting a Foley catheter
3.Administering furosemide (Lasix)
4.Administering morphine
sulfate intravenously
5.Transporting the client to the coronary
care unit
6.Placing the client in a low Fowler's side-
lying positio
A client with myocardial infarction suddenly ANS: 2
becomes tachycardic, shows signs of air Rationale: Pulmonary edema is characterized by extreme breathlessness, dyspnea,
hunger, and begins coughing frothy, pink- air hunger, and the production of frothy, pink-tinged
tinged sputum. Which finding would the sputum. Auscultation of the lungs reveals crackles. Rhonchi and diminished breath
nurse anticipate when auscultating the sounds are not associated with pulmonary edema.
client's breath sounds? Stridor is a crowing sound associated with laryngospasm or edema of the upper
airway.
1. Stridor
2.Crackles
3.Scattered rhonchi
4. Diminished breath sounds
A client with myocardial infarction is ANS: 2
developing cardiogenic shock. Because of Rationale: Classic signs of cardiogenic shock as they relate to myocardial ischemia
the risk of myocardial ischemia, what include low blood pressure and tachycardia. The
condition should the nurse carefully assess central venous pressure would rise as the backward effects of the severe left
the client for? ventricular failure became apparent. Dysrhythmias commonly occur as a result of
700
decreased oxygenation and severe damage to greater than 40% of the myocardium.
2/
7
