p
CARDIAC NCLEX PRACTICE EXAM | QU
p p p p p
ESTIONS & ANSWERS (VERIFIED) |LAT
p p p p p
EST UPDATE | GRADED A+ p p p p
Thepnursepisppreparingptopteachpthepptpnewlypdiagnosedpwithpanginappectorisphowptopself-
administerpnitroglycerinep(NTG)ptablets.pWhatpptpteachingpshouldpthepnursepemphasize?
selectpallpthatpapply
A. stoppallpactivitiespimmediatelypandpsitpdownpifpchestppainpoccurs
B. ifptheppainpispunrelievedpafterpthreepNTGptablets,pcontinueptoprestpandpcallpthe
prescriberprightpaway
C. Afterpdischarge,pkeeppNTGptabletsponpyourpbedsideptablepdaypandpnight
D. immediatelypafterpchestppainpbegins,pnotifypyourppersonalpprescriber
E. thepNTGptabletpshouldptinglepwhenpplacedpunderptheptongue
CorrectpAnswer: A,B,E
thepptpstates,p"IpalwayspputpmypnitroglycerineppatchpinpthepsamepplacepsopIpdopnotpforget
toptakepitpoff."pWhichpofpthepfollowingpispthepbestpresponsepbypthepnurse?
A. changeptheppatchpeveryp24phours
B. massagepintopthepskinpifpointmentpcomespinpcontactpwithpyourphands
C. rotatepthepNTGppatchptopapdifferentphairlesspareapeachpday
D. afterpremovingptheppatch,pscrubptheparepvigorouslypwithpsoappandpwater
CorrectpAnswer: C
1
,AphealthcarepproviderporderspNTGptopbepadministeredpbypIVpdrip.pThepnursepcarryingpout
theporderpwouldpmonitorpforpwhichpofpthepfollowingpaspapprioritypspecificptopmedication?
A. shortnesspofpbreathpwhenpraisingpheadpofpbed
B. urinepoutput
C. bloodppressurepandpheartprate
D. facialpflushingpandpheadache
CorrectpAnswer: C
Beforepapptpreceivespmetoprololp(Lopressor)pforphypertension,pthepnursepshouldpaskpthe
ptpaboutpaphistorypofpwhichpofpthepfollowing?
A. bronchospasms
B. seizures
C. peripheralpvascularpdisease
D. myastheniapgravis
CorrectpAnswer: A
Thepnursepprovidespdischargepinstructionsptopapptpaboutpthepusepofpamiodarone.pWhich
ofpthepfollowingpstatementspindicatespthatpthepptphaspthepknowledgepnecessaryptopsafely
administerpthepdrug?
A. aspsoonpaspthepphysicianpsayspIpcanpstopptakingpthispmedication,pIpwillpbepableptopenjoy
thepsunpagain
2
,B. thepsidepeffectspofpthispmedpmaypnotpbeginptopshowpuppforpseveralpweeksporpeven
monthspafterpIpstartptakingpit
C. Ifpmyppulsepdropspbelowp100pbeats/minute,pIpshouldpcallpthepphysicianprightpaway
D. IfpIpmisspapdosepofpme,pIpshouldptakepitpaspsoonpaspIprememberpit
CorrectpAnswer: B
Thepnursepispscheduledptopadministerpapdosepofpdigoxinptopandpadultpptpwithpatrial
fibrillation.pThepptphaspappotassiumplevelpofp4.3pmEq/L.pThepnursepshouldpperformpwhich
ofpthepfollowingpactivitiespnext?
A. withholdpdoseponlypforpthatpday
B. obtainporderpforpdosepofppotassiumpbeforepgivingpdigoxin
C. withholdpdosepandpnotifypprescriber
D. administerpdosepaspordered
CorrectpAnswer: D
Apptpisptakingpdigoxinpandpfurosemidep(Lasix)ptopmanagepcongestivepheartpfailure.pThe
nursepdetermienspthatpthepptpunderstandspdietptherapypwhenpthepptpmakespwhichpmeal
choice?
A. veggiepbeefpsoup,pmacpandpcheese,pandpaproll
B. beefpraviolipw/pbread
C. bakedpwhitepfish,pmashedppotatoes,pandpcarrotpsalad
D. roastedpchicken,pbrownprice,pandpstewedptomatoes
CorrectpAnswer: C
3
, Afterpaphealthcarepproviderpprescribedppropranololpforpapptpwithpfrequentppremature
ventricularpcontractions,pthepnursepshouldpincludepwithpofpthepfollowingpinpthepcarepplan?
A. informpptpthatpexcessiveprespiratorypresponseptopactivitypshouldpgraduallypdecrease
B. measurepheartpratepdailypbeforeptakingpdose
C. Ptpwillphavepincreasedpresistanceptopinfection
D. currentpskinperuptionspwillpimprovepwithinp30pdays
CorrectpAnswer: B
Apptpwithpatrialpfibrillationpispreceivingpcontinuouspheparinpinfusionpatp1000punits/hr.pThe
nursepwouldpdeterminepthatpthepptpispreceivingptheptherapeuticpeffectpbasedponpwhichpof
thepfollowingpresults?
A. prothrombinptimepofp12.5pseconds
B. aptptimepofp60pseconds
C. aptptimepofp28pseconds
D. aptptimeplongerpthanp120psec
CorrectpAnswer: B
Apnursepprovidespdischargepinstructionsptopappostpoppptpwhopisptakingpwarfarinpsodium
(Coumadin).pWhichpstatement,pifpmadepbyptheppt,preflectspthepneedpforpfurtherpteaching?
A. Ipwillptakepmyppillspeverypdaypatpthepsameptime
B. Ipwillpbepcertainptoplimitpmypalcoholpconsumption
C. IphavepalreadypcalledpmypfamilyptoppickpuppmypMedic-Alertpbracelet
4
CARDIAC NCLEX PRACTICE EXAM | QU
p p p p p
ESTIONS & ANSWERS (VERIFIED) |LAT
p p p p p
EST UPDATE | GRADED A+ p p p p
Thepnursepisppreparingptopteachpthepptpnewlypdiagnosedpwithpanginappectorisphowptopself-
administerpnitroglycerinep(NTG)ptablets.pWhatpptpteachingpshouldpthepnursepemphasize?
selectpallpthatpapply
A. stoppallpactivitiespimmediatelypandpsitpdownpifpchestppainpoccurs
B. ifptheppainpispunrelievedpafterpthreepNTGptablets,pcontinueptoprestpandpcallpthe
prescriberprightpaway
C. Afterpdischarge,pkeeppNTGptabletsponpyourpbedsideptablepdaypandpnight
D. immediatelypafterpchestppainpbegins,pnotifypyourppersonalpprescriber
E. thepNTGptabletpshouldptinglepwhenpplacedpunderptheptongue
CorrectpAnswer: A,B,E
thepptpstates,p"IpalwayspputpmypnitroglycerineppatchpinpthepsamepplacepsopIpdopnotpforget
toptakepitpoff."pWhichpofpthepfollowingpispthepbestpresponsepbypthepnurse?
A. changeptheppatchpeveryp24phours
B. massagepintopthepskinpifpointmentpcomespinpcontactpwithpyourphands
C. rotatepthepNTGppatchptopapdifferentphairlesspareapeachpday
D. afterpremovingptheppatch,pscrubptheparepvigorouslypwithpsoappandpwater
CorrectpAnswer: C
1
,AphealthcarepproviderporderspNTGptopbepadministeredpbypIVpdrip.pThepnursepcarryingpout
theporderpwouldpmonitorpforpwhichpofpthepfollowingpaspapprioritypspecificptopmedication?
A. shortnesspofpbreathpwhenpraisingpheadpofpbed
B. urinepoutput
C. bloodppressurepandpheartprate
D. facialpflushingpandpheadache
CorrectpAnswer: C
Beforepapptpreceivespmetoprololp(Lopressor)pforphypertension,pthepnursepshouldpaskpthe
ptpaboutpaphistorypofpwhichpofpthepfollowing?
A. bronchospasms
B. seizures
C. peripheralpvascularpdisease
D. myastheniapgravis
CorrectpAnswer: A
Thepnursepprovidespdischargepinstructionsptopapptpaboutpthepusepofpamiodarone.pWhich
ofpthepfollowingpstatementspindicatespthatpthepptphaspthepknowledgepnecessaryptopsafely
administerpthepdrug?
A. aspsoonpaspthepphysicianpsayspIpcanpstopptakingpthispmedication,pIpwillpbepableptopenjoy
thepsunpagain
2
,B. thepsidepeffectspofpthispmedpmaypnotpbeginptopshowpuppforpseveralpweeksporpeven
monthspafterpIpstartptakingpit
C. Ifpmyppulsepdropspbelowp100pbeats/minute,pIpshouldpcallpthepphysicianprightpaway
D. IfpIpmisspapdosepofpme,pIpshouldptakepitpaspsoonpaspIprememberpit
CorrectpAnswer: B
Thepnursepispscheduledptopadministerpapdosepofpdigoxinptopandpadultpptpwithpatrial
fibrillation.pThepptphaspappotassiumplevelpofp4.3pmEq/L.pThepnursepshouldpperformpwhich
ofpthepfollowingpactivitiespnext?
A. withholdpdoseponlypforpthatpday
B. obtainporderpforpdosepofppotassiumpbeforepgivingpdigoxin
C. withholdpdosepandpnotifypprescriber
D. administerpdosepaspordered
CorrectpAnswer: D
Apptpisptakingpdigoxinpandpfurosemidep(Lasix)ptopmanagepcongestivepheartpfailure.pThe
nursepdetermienspthatpthepptpunderstandspdietptherapypwhenpthepptpmakespwhichpmeal
choice?
A. veggiepbeefpsoup,pmacpandpcheese,pandpaproll
B. beefpraviolipw/pbread
C. bakedpwhitepfish,pmashedppotatoes,pandpcarrotpsalad
D. roastedpchicken,pbrownprice,pandpstewedptomatoes
CorrectpAnswer: C
3
, Afterpaphealthcarepproviderpprescribedppropranololpforpapptpwithpfrequentppremature
ventricularpcontractions,pthepnursepshouldpincludepwithpofpthepfollowingpinpthepcarepplan?
A. informpptpthatpexcessiveprespiratorypresponseptopactivitypshouldpgraduallypdecrease
B. measurepheartpratepdailypbeforeptakingpdose
C. Ptpwillphavepincreasedpresistanceptopinfection
D. currentpskinperuptionspwillpimprovepwithinp30pdays
CorrectpAnswer: B
Apptpwithpatrialpfibrillationpispreceivingpcontinuouspheparinpinfusionpatp1000punits/hr.pThe
nursepwouldpdeterminepthatpthepptpispreceivingptheptherapeuticpeffectpbasedponpwhichpof
thepfollowingpresults?
A. prothrombinptimepofp12.5pseconds
B. aptptimepofp60pseconds
C. aptptimepofp28pseconds
D. aptptimeplongerpthanp120psec
CorrectpAnswer: B
Apnursepprovidespdischargepinstructionsptopappostpoppptpwhopisptakingpwarfarinpsodium
(Coumadin).pWhichpstatement,pifpmadepbyptheppt,preflectspthepneedpforpfurtherpteaching?
A. Ipwillptakepmyppillspeverypdaypatpthepsameptime
B. Ipwillpbepcertainptoplimitpmypalcoholpconsumption
C. IphavepalreadypcalledpmypfamilyptoppickpuppmypMedic-Alertpbracelet
4
