CARDIAC NCLEX EXAM | QUESTIONS &A
p p p p p p
NSWERS (VERIFIED) | LATEST UPDATE |
p p p p p p
GRADED A+ p
ApnursepispassistingpapclientpwhopwillpwearpapHolterpmonitorpforpcontinuouspcardiac
p
monitoringpoverpthepnextp24phours.pThepnurseptakespwhichpofpthepfollowingpactionspto
assistpthispclient?
CorrectpAnswer: Givespthepclientpapdevicepholderptopwearparoundpthepwaist
Apclientpispadmittedptopthephospitalpwithpapdiagnosispofppericarditis.pThepnursepreviewspthe
client'sprecordpforpwhichpmanifestationpthatpdifferentiatesppericarditispfrompother
cardiopulmonarypproblems?
CorrectpAnswer: Pericardialpfrictionprub
Apclientpdiagnosedpwithpanginappectorispreturnsptopthepnursingpunitpafterpexperiencingpan
angioplasty.pThepnursepreinforcespinstructionsptopthepclientpregardingpthepprocedurepand
homepcarepmeasures.pWhichpstatementpbypthepclientpindicatespanpunderstandingpofpthe
instructions?
CorrectpAnswer: "Ipneedptopadhereptopmypdietaryprestrictions."
1
,Apnursepispcaringpforpapclientpwithpapdiagnosispofpmyocardialpinfarctionp(MI).pThepclient
reportspchestppain.pWhenpthepadministrationpofpapsublingualpnitroglycerinptabletpas
prescribedpdoespnotprelievepthepchestppain,pthepnextpnursingpactionpispto:
CorrectpAnswer: Checkpthepbloodppressurepandpadministerpanotherpnitroglycerin
tablet
Apclientphaspjustpreturnedpfrompthepcardiacpcatheterizationplaboratory.pThepleftpfemoral
vesselpwaspusedpaspthepaccesspsite.pAfterpreturningpthepclientptopbedpandpcollectingpinitial
data,pthepnursepplacespapsignpabovepthepbedpstatingpthatpthepclientpshouldpremainpon
bedrest:
CorrectpAnswer: Withpthepheadpofpthepbedpelevatedpnopmorepthanp15pdegrees
Apnursepunderstandspthatpwhichpofpthepfollowingpispapcorrectpguidelinepforpadult
cardiopulmonarypresuscitationp(CPR)pforpaphealthpcarepprovider?
CorrectpAnswer: Eachprescuepbreathpshouldpbepgivenpoverp1psecondpandpshould
producepapvisiblepchestprise.
Apclientpcomplainingpofpchestppainphaspanpas-neededp(PRN)pprescriptionpforpsublingual
nitroglycerinp(Nitrostat).pBeforepadministeringpthepmedicationptopthepclient,pthepnurse
shouldpfirstpcheckpthepclient's:
CorrectpAnswer: Bloodppressure
2
, Apnursepispassistingpinpcaringpforpapclientpinptheptelemetrypunitpandpispmonitoringpthepclient
forpcardiacpchangespindicativepofphypokalemia.pWhichpoccurrencepnotedponpthepcardiac
monitorpindicatesptheppresencepofphypokalemia?
CorrectpAnswer: ST-segmentpdepression
Apclientphaspaphistorypofpleft-sidedpheartpfailure.pThepnursepwouldplookpforptheppresencepof
whichpofpthepfollowingptopdeterminepwhetherpthepproblempispcurrentlypactive?
CorrectpAnswer: Bilateralplungpcrackles
Thepclientpscheduledpforpaprightpfemoropoplitealpbypasspgraftpispatpriskpforpcompromised
tissuepperfusionptopthepextremity.pThepnurseptakespwhichpactionpbeforepsurgerypto
addresspthisprisk?
CorrectpAnswer: Markingptheplocationpofptheppedalppulsesponptheprightpleg
Apclientpseekspmedicalpattentionpforpintermittentpepisodespinpwhichpthepfingerspofpboth
handspbecomepcold,ppale,pandpnumb.pThepclientpstatespthatptheypthenpbecomepreddened
andpswollenpwithpapthrobbing,pachyppain.pThepnursepfurtherpcollectspdataponpthepclientpto
seepwhetherpthesepepisodespoccurpwith:
CorrectpAnswer: Ingestionpofpcoffeeporpchocolate
Apnursepispcaringpforpapclientpwhopispdevelopingppulmonarypedema.pThepclientpexhibits
respiratorypdistress,pbutpthepbloodppressurepispunchangedpfrompthepclient'spbaseline.pAs
anpimmediatepactionpbeforephelpparrives,pthepnursepwould:
3
p p p p p p
NSWERS (VERIFIED) | LATEST UPDATE |
p p p p p p
GRADED A+ p
ApnursepispassistingpapclientpwhopwillpwearpapHolterpmonitorpforpcontinuouspcardiac
p
monitoringpoverpthepnextp24phours.pThepnurseptakespwhichpofpthepfollowingpactionspto
assistpthispclient?
CorrectpAnswer: Givespthepclientpapdevicepholderptopwearparoundpthepwaist
Apclientpispadmittedptopthephospitalpwithpapdiagnosispofppericarditis.pThepnursepreviewspthe
client'sprecordpforpwhichpmanifestationpthatpdifferentiatesppericarditispfrompother
cardiopulmonarypproblems?
CorrectpAnswer: Pericardialpfrictionprub
Apclientpdiagnosedpwithpanginappectorispreturnsptopthepnursingpunitpafterpexperiencingpan
angioplasty.pThepnursepreinforcespinstructionsptopthepclientpregardingpthepprocedurepand
homepcarepmeasures.pWhichpstatementpbypthepclientpindicatespanpunderstandingpofpthe
instructions?
CorrectpAnswer: "Ipneedptopadhereptopmypdietaryprestrictions."
1
,Apnursepispcaringpforpapclientpwithpapdiagnosispofpmyocardialpinfarctionp(MI).pThepclient
reportspchestppain.pWhenpthepadministrationpofpapsublingualpnitroglycerinptabletpas
prescribedpdoespnotprelievepthepchestppain,pthepnextpnursingpactionpispto:
CorrectpAnswer: Checkpthepbloodppressurepandpadministerpanotherpnitroglycerin
tablet
Apclientphaspjustpreturnedpfrompthepcardiacpcatheterizationplaboratory.pThepleftpfemoral
vesselpwaspusedpaspthepaccesspsite.pAfterpreturningpthepclientptopbedpandpcollectingpinitial
data,pthepnursepplacespapsignpabovepthepbedpstatingpthatpthepclientpshouldpremainpon
bedrest:
CorrectpAnswer: Withpthepheadpofpthepbedpelevatedpnopmorepthanp15pdegrees
Apnursepunderstandspthatpwhichpofpthepfollowingpispapcorrectpguidelinepforpadult
cardiopulmonarypresuscitationp(CPR)pforpaphealthpcarepprovider?
CorrectpAnswer: Eachprescuepbreathpshouldpbepgivenpoverp1psecondpandpshould
producepapvisiblepchestprise.
Apclientpcomplainingpofpchestppainphaspanpas-neededp(PRN)pprescriptionpforpsublingual
nitroglycerinp(Nitrostat).pBeforepadministeringpthepmedicationptopthepclient,pthepnurse
shouldpfirstpcheckpthepclient's:
CorrectpAnswer: Bloodppressure
2
, Apnursepispassistingpinpcaringpforpapclientpinptheptelemetrypunitpandpispmonitoringpthepclient
forpcardiacpchangespindicativepofphypokalemia.pWhichpoccurrencepnotedponpthepcardiac
monitorpindicatesptheppresencepofphypokalemia?
CorrectpAnswer: ST-segmentpdepression
Apclientphaspaphistorypofpleft-sidedpheartpfailure.pThepnursepwouldplookpforptheppresencepof
whichpofpthepfollowingptopdeterminepwhetherpthepproblempispcurrentlypactive?
CorrectpAnswer: Bilateralplungpcrackles
Thepclientpscheduledpforpaprightpfemoropoplitealpbypasspgraftpispatpriskpforpcompromised
tissuepperfusionptopthepextremity.pThepnurseptakespwhichpactionpbeforepsurgerypto
addresspthisprisk?
CorrectpAnswer: Markingptheplocationpofptheppedalppulsesponptheprightpleg
Apclientpseekspmedicalpattentionpforpintermittentpepisodespinpwhichpthepfingerspofpboth
handspbecomepcold,ppale,pandpnumb.pThepclientpstatespthatptheypthenpbecomepreddened
andpswollenpwithpapthrobbing,pachyppain.pThepnursepfurtherpcollectspdataponpthepclientpto
seepwhetherpthesepepisodespoccurpwith:
CorrectpAnswer: Ingestionpofpcoffeeporpchocolate
Apnursepispcaringpforpapclientpwhopispdevelopingppulmonarypedema.pThepclientpexhibits
respiratorypdistress,pbutpthepbloodppressurepispunchangedpfrompthepclient'spbaseline.pAs
anpimmediatepactionpbeforephelpparrives,pthepnursepwould:
3
