CARDIAC NCLEX PRACTICE QUESTIONS AND ANSWE n n n n n
RS (VERIFIED AND WELL DETAILED ANSWERS) LATE
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ST UPDATE 2024/2025
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The nurse is preparing to teach the pt newly diagnosed with angina pectoris how to se
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lf-
administer nitroglycerine (NTG) tablets. What pt teaching should the nurse emphasi
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ze? select all that apply
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A. stop all activities immediately and sit down if chest pain occurs
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B. if the pain is unrelieved after three NTG tablets, continue to rest and call the pr
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escriber right away n n
C. After discharge, keep NTG tablets on your bedside table day and night
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D. immediately after chest pain begins, notify your personal prescriber n n n n n n n n
E. the NTG tablet should tingle when placed under the tongue -
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CORRECT ANSWER A,B,E
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the pt states, "I always put my nitroglycerine patch in the same place so I do not forge
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t to take it off." Which of the following is the best response by the nurse?
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A. change the patch every 24 hours n n n n n
B. massage into the skin if ointment comes in contact with your hands
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C. rotate the NTG patch to a different hairless area each day
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D. after removing the patch, scrub the are vigorously with soap and water -
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CORRECT ANSWER C
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A healthcare provider orders NTG to be administered by IV drip. The nurse carrying
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out the order would monitor for which of the following as a priority specific to medic
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ation?
,A. shortness of breath when raising head of bed n n n n n n n
B. urine output n
C. blood pressure and heart rate n n n n
D. facial flushing and headache - CORRECT ANSWER C
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Before a pt receives metoprolol (Lopressor) for hypertension, the nurse should ask th
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e pt about a history of which of the following?
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A. bronchospasms
B. seizures
C. peripheral vascular disease n n
D. myasthenia gravis - CORRECT ANSWER A n n n n n
The nurse provides discharge instructions to a pt about the use of amiodarone.
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Which of the following statements indicates that the pt has the knowledge necessary t
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o safely administer the drug?
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A. as soon as the physician says I can stop taking this medication, I will be able to en
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joy the sun again
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B. the side effects of this med may not begin to show up for several weeks or even m
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onths after I start taking it
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C. If my pulse drops below 100 beats/minute, I should call the physician right a
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way
D. If I miss a dose of me, I should take it as soon as I remember it -
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CORRECT ANSWER B
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The nurse is scheduled to administer a dose of digoxin to and adult pt with atrial fibri
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llation. The pt has a potassium level of 4.3 mEq/L. The nurse should perform which o
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f the following activities next?
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A. withhold dose only for that day n n n n n
,B. obtain order for dose of potassium before giving digoxin
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C. withhold dose and notify prescriber n n n n
D. administer dose as ordered - CORRECT ANSWER D n n n n n n n
A pt is taking digoxin and furosemide (Lasix) to manage congestive heart failure. The
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nurse determiens that the pt understands diet therapy when the pt makes which meal c
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hoice?
A. veggie beef soup, mac and cheese, and a roll
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B. beef ravioli w/ breadn n n
C. baked white fish, mashed potatoes, and carrot salad
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D. roasted chicken, brown rice, and stewed tomatoes - CORRECT ANSWER C
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After a healthcare provider prescribed propranolol for a pt with frequent premature v
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entricular contractions, the nurse should include with of the following in the care pla
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n?
A. inform pt that excessive respiratory response to activity should gradually d
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ecrease
B. measure heart rate daily before taking dose
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C. Pt will have increased resistance to infection
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D. current skin eruptions will improve within 30 days - CORRECT ANSWER B
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A pt with atrial fibrillation is receiving continuous heparin infusion at 1000 units/hr.
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The nurse would determine that the pt is receiving the therapeutic effect based on whi
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ch of the following results?
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A. prothrombin time of 12.5 seconds n n n n
B. apt time of 60 seconds
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C. apt time of 28 seconds
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D. apt time longer than 120 sec - CORRECT ANSWER B
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, A nurse provides discharge instructions to a post op pt who is taking warfarin so
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dium (Coumadin). Which statement, if made by the pt, reflects the need for furt
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her teaching?
n
A. I will take my pills every day at the same time
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B. I will be certain to limit my alcohol consumption
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C. I have already called my family to pick up my Medic-Alert bracelet
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D. I will take enteric-coated Aspirin for my headaches - CORRECT ANSWER D
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A nurse is caring for a pt receiving heparin IV. The nurse anticipates that which lab st
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udy will be prescribed to monitor the therapeutic effect of heparin?
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A. hematocrit
B. hemoglobin
C. prothrombin time n
D. activated partial thromboplastin time - CORRECT ANSWER D
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A pt is diagnosed with an acute myocardial infarction and is receiving tissue plasmin
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ogen activator, alteplase (Activase). Which of the following is a priority nursing inter
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vention?
A. monitor for renal failure n n n
B. monitor for psychosocial status n n n
C. monitor for signs of bleeding n n n n
D. have heparin sodium available - CORRECT ANSWER C
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A home health nurse instructs a pt about the use of a nitrate patch. The nurse tells the
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pt that which of the following will prevent pt tolerance to nitrates?
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A. do not remove the patches
n n n n
RS (VERIFIED AND WELL DETAILED ANSWERS) LATE
n n n n n n
ST UPDATE 2024/2025
n n
The nurse is preparing to teach the pt newly diagnosed with angina pectoris how to se
n n n n n n n n n n n n n n n
lf-
administer nitroglycerine (NTG) tablets. What pt teaching should the nurse emphasi
n n n n n n n n n n
ze? select all that apply
n n n n
A. stop all activities immediately and sit down if chest pain occurs
n n n n n n n n n n
B. if the pain is unrelieved after three NTG tablets, continue to rest and call the pr
n n n n n n n n n n n n n n n
escriber right away n n
C. After discharge, keep NTG tablets on your bedside table day and night
n n n n n n n n n n n
D. immediately after chest pain begins, notify your personal prescriber n n n n n n n n
E. the NTG tablet should tingle when placed under the tongue -
n n n n n n n n n n
CORRECT ANSWER A,B,E
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the pt states, "I always put my nitroglycerine patch in the same place so I do not forge
n n n n n n n n n n n n n n n n n
t to take it off." Which of the following is the best response by the nurse?
n n n n n n n n n n n n n n n
A. change the patch every 24 hours n n n n n
B. massage into the skin if ointment comes in contact with your hands
n n n n n n n n n n n
C. rotate the NTG patch to a different hairless area each day
n n n n n n n n n n
D. after removing the patch, scrub the are vigorously with soap and water -
n n n n n n n n n n n n
CORRECT ANSWER C
n n n
A healthcare provider orders NTG to be administered by IV drip. The nurse carrying
n n n n n n n n n n n n n n
out the order would monitor for which of the following as a priority specific to medic
n n n n n n n n n n n n n n n
ation?
,A. shortness of breath when raising head of bed n n n n n n n
B. urine output n
C. blood pressure and heart rate n n n n
D. facial flushing and headache - CORRECT ANSWER C
n n n n n n n
Before a pt receives metoprolol (Lopressor) for hypertension, the nurse should ask th
n n n n n n n n n n n n
e pt about a history of which of the following?
n n n n n n n n n
A. bronchospasms
B. seizures
C. peripheral vascular disease n n
D. myasthenia gravis - CORRECT ANSWER A n n n n n
The nurse provides discharge instructions to a pt about the use of amiodarone.
n n n n n n n n n n n n
Which of the following statements indicates that the pt has the knowledge necessary t
n n n n n n n n n n n n n
o safely administer the drug?
n n n n
A. as soon as the physician says I can stop taking this medication, I will be able to en
n n n n n n n n n n n n n n n n n
joy the sun again
n n n
B. the side effects of this med may not begin to show up for several weeks or even m
n n n n n n n n n n n n n n n n n
onths after I start taking it
n n n n n
C. If my pulse drops below 100 beats/minute, I should call the physician right a
n n n n n n n n n n n n n
way
D. If I miss a dose of me, I should take it as soon as I remember it -
n n n n n n n n n n n n n n n n n
CORRECT ANSWER B
n n n
The nurse is scheduled to administer a dose of digoxin to and adult pt with atrial fibri
n n n n n n n n n n n n n n n n
llation. The pt has a potassium level of 4.3 mEq/L. The nurse should perform which o
n n n n n n n n n n n n n n n
f the following activities next?
n n n n
A. withhold dose only for that day n n n n n
,B. obtain order for dose of potassium before giving digoxin
n n n n n n n n
C. withhold dose and notify prescriber n n n n
D. administer dose as ordered - CORRECT ANSWER D n n n n n n n
A pt is taking digoxin and furosemide (Lasix) to manage congestive heart failure. The
n n n n n n n n n n n n n
nurse determiens that the pt understands diet therapy when the pt makes which meal c
n n n n n n n n n n n n n n n
hoice?
A. veggie beef soup, mac and cheese, and a roll
n n n n n n n n
B. beef ravioli w/ breadn n n
C. baked white fish, mashed potatoes, and carrot salad
n n n n n n n
D. roasted chicken, brown rice, and stewed tomatoes - CORRECT ANSWER C
n n n n n n n n n n
After a healthcare provider prescribed propranolol for a pt with frequent premature v
n n n n n n n n n n n n
entricular contractions, the nurse should include with of the following in the care pla
n n n n n n n n n n n n n
n?
A. inform pt that excessive respiratory response to activity should gradually d
n n n n n n n n n n
ecrease
B. measure heart rate daily before taking dose
n n n n n n
C. Pt will have increased resistance to infection
n n n n n n
D. current skin eruptions will improve within 30 days - CORRECT ANSWER B
n n n n n n n n n n n
A pt with atrial fibrillation is receiving continuous heparin infusion at 1000 units/hr.
n n n n n n n n n n n n n
The nurse would determine that the pt is receiving the therapeutic effect based on whi
n n n n n n n n n n n n n n
ch of the following results?
n n n n
A. prothrombin time of 12.5 seconds n n n n
B. apt time of 60 seconds
n n n n
C. apt time of 28 seconds
n n n n
D. apt time longer than 120 sec - CORRECT ANSWER B
n n n n n n n n n
, A nurse provides discharge instructions to a post op pt who is taking warfarin so
n n n n n n n n n n n n n n
dium (Coumadin). Which statement, if made by the pt, reflects the need for furt
n n n n n n n n n n n n n
her teaching?
n
A. I will take my pills every day at the same time
n n n n n n n n n n n
B. I will be certain to limit my alcohol consumption
n n n n n n n n n
C. I have already called my family to pick up my Medic-Alert bracelet
n n n n n n n n n n n n
D. I will take enteric-coated Aspirin for my headaches - CORRECT ANSWER D
n n n n n n n n n n n n
A nurse is caring for a pt receiving heparin IV. The nurse anticipates that which lab st
n n n n n n n n n n n n n n n n
udy will be prescribed to monitor the therapeutic effect of heparin?
n n n n n n n n n n
A. hematocrit
B. hemoglobin
C. prothrombin time n
D. activated partial thromboplastin time - CORRECT ANSWER D
n n n n n n n
A pt is diagnosed with an acute myocardial infarction and is receiving tissue plasmin
n n n n n n n n n n n n n
ogen activator, alteplase (Activase). Which of the following is a priority nursing inter
n n n n n n n n n n n n
vention?
A. monitor for renal failure n n n
B. monitor for psychosocial status n n n
C. monitor for signs of bleeding n n n n
D. have heparin sodium available - CORRECT ANSWER C
n n n n n n n
A home health nurse instructs a pt about the use of a nitrate patch. The nurse tells the
n n n n n n n n n n n n n n n n n n
pt that which of the following will prevent pt tolerance to nitrates?
n n n n n n n n n n n
A. do not remove the patches
n n n n
