Caitlin Freddoso
NCLEX Cardiac Questions And Answers Verified 100%
Correct
A home care nurse is visiting a client to provide follow-up evaluation and care of a leg ulcer.
On removing the dressing from the leg ulcer, the nurse notes that the ulcer is pale and deep
and that the surrounding tissue is cool to the touch. The nurse should document that these
findings identify which type of ulcer?
1.A stage 1 ulcer
2.A vascular ulcer
3.An arterial ulcer
4.A venous stasis ulcer
The nurse is developing a plan of care for a client who will be admitted to the hospital with
adiagnosis of deep vein thrombosis (DVT) of the right leg. The nurse develops the plan,
expecting that the health care provider will most likely prescribe which option?
1.Maintain bed rest.
2.Maintain the affected leg in a dependent position.
3.Administer an opioid analgesic every 4 hours around the clock.
4.Apply cool packs to the affected leg for 20 minutes every 4 hours.
A client with a diagnosis of varicose veins is scheduled for treatment by sclerotherapy and
asks the nurse to describe the procedure. Which response should the nurse make? 1."It
involves tying off the veins so that circulation is redirected in another area."
2."It involves surgically removing the varicosity, so anesthesia will be required."
3."It involves tying off the veins to prevent sluggishness of blood from occurring."
4."It involves injecting an agent into the vein to damage the vein wall and close it off."
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 edema goes down."
20. The nurse is caring for a client who has been hospitalized with a diagnosis of angina
pectoris. The client is receiving oxygen via nasal cannula at 2 L/min. The client asks why the
oxygen is necessary. The nurse should provide which information to the client?
1.Oxygen has a calming effect.
,2.Oxygen will prevent the development of any thrombus.
3.Oxygen dilates the blood vessels so that they can supply more nutrients to the heart muscle.
4.The pain of angina pectoris occurs because of a decreased oxygen supply to heart cells.
A client with a diagnosis of angina pectoris is hospitalized for an angioplasty. The client returns
to the nursing unit after the procedure, and the nurse provides instructions to the client
regarding home care measures. Which statement, if made by the client, indicates an
understanding of the instructions?
1."I need to cut down on cigarette smoking."
2."I am so relieved that my heart is repaired."
3."I need to adhere to my dietary restrictions."
4."I am so relieved that I can eat anything I want to now."
The nurse is caring for a client with a diagnosis of myocardial infarction (MI) and is assisting
the client in completing the diet menu. Which beverage should the nurse instruct the client to
select from the menu?
1.Tea
2.Cola
3.Coffee
4.Raspberry juice
21. The nurse is performing an admission assessment on a client with a diagnosis of angina
pectoris who takes nitroglycerin for chest pain at home. During the assessment the client
complains of chest pain. The nurse should immediately ask the client which question?
1."Where is the pain located?"
2."Are you having any nausea?"
3."Are you allergic to any medications?"
4."Do you have your nitroglycerin with you?"
22. The nurse has provided dietary instructions to a client with coronary artery disease.
Which statement by the client indicates an understanding of the dietary instructions?
1."I'll need to become a strict vegetarian."
2."I should use polyunsaturated oils in my diet."
3."I need to substitute eggs and whole milk for meat."
4."I should eliminate all cholesterol and fat from my diet."
23. A client is admitted to the visiting nurse service for assessment and follow-up after
being discharged from the hospital with new-onset heart failure (HF). The nurse teaches the
, client about the dietary restrictions required with HF. Which statement by the client indicates
that further teaching is needed?
1."I'm not supposed to eat cold cuts."
2."I can have most fresh fruits and vegetables."
3."I'm going to weigh myself daily to be sure I don't gain too much fluid."
4."I'm going to have a ham and cheese sandwich and potato chips for lunch."
24. 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
25. The nurse is trying to determine the ability of the client with myocardial infarction (MI)
to manage independently at home after discharge. Which statement by the client is the
strongest indicator of the potential for difficulty after discharge? 1."I need to start exercising
more to improve my health."
2."I will be sure to keep my appointment with the cardiologist."
3."I don't have anyone to help me with doing heavy housework at home."
4."I think I have a good understanding of what all my medications are for."
26. 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."
34.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
NCLEX Cardiac Questions And Answers Verified 100%
Correct
A home care nurse is visiting a client to provide follow-up evaluation and care of a leg ulcer.
On removing the dressing from the leg ulcer, the nurse notes that the ulcer is pale and deep
and that the surrounding tissue is cool to the touch. The nurse should document that these
findings identify which type of ulcer?
1.A stage 1 ulcer
2.A vascular ulcer
3.An arterial ulcer
4.A venous stasis ulcer
The nurse is developing a plan of care for a client who will be admitted to the hospital with
adiagnosis of deep vein thrombosis (DVT) of the right leg. The nurse develops the plan,
expecting that the health care provider will most likely prescribe which option?
1.Maintain bed rest.
2.Maintain the affected leg in a dependent position.
3.Administer an opioid analgesic every 4 hours around the clock.
4.Apply cool packs to the affected leg for 20 minutes every 4 hours.
A client with a diagnosis of varicose veins is scheduled for treatment by sclerotherapy and
asks the nurse to describe the procedure. Which response should the nurse make? 1."It
involves tying off the veins so that circulation is redirected in another area."
2."It involves surgically removing the varicosity, so anesthesia will be required."
3."It involves tying off the veins to prevent sluggishness of blood from occurring."
4."It involves injecting an agent into the vein to damage the vein wall and close it off."
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 edema goes down."
20. The nurse is caring for a client who has been hospitalized with a diagnosis of angina
pectoris. The client is receiving oxygen via nasal cannula at 2 L/min. The client asks why the
oxygen is necessary. The nurse should provide which information to the client?
1.Oxygen has a calming effect.
,2.Oxygen will prevent the development of any thrombus.
3.Oxygen dilates the blood vessels so that they can supply more nutrients to the heart muscle.
4.The pain of angina pectoris occurs because of a decreased oxygen supply to heart cells.
A client with a diagnosis of angina pectoris is hospitalized for an angioplasty. The client returns
to the nursing unit after the procedure, and the nurse provides instructions to the client
regarding home care measures. Which statement, if made by the client, indicates an
understanding of the instructions?
1."I need to cut down on cigarette smoking."
2."I am so relieved that my heart is repaired."
3."I need to adhere to my dietary restrictions."
4."I am so relieved that I can eat anything I want to now."
The nurse is caring for a client with a diagnosis of myocardial infarction (MI) and is assisting
the client in completing the diet menu. Which beverage should the nurse instruct the client to
select from the menu?
1.Tea
2.Cola
3.Coffee
4.Raspberry juice
21. The nurse is performing an admission assessment on a client with a diagnosis of angina
pectoris who takes nitroglycerin for chest pain at home. During the assessment the client
complains of chest pain. The nurse should immediately ask the client which question?
1."Where is the pain located?"
2."Are you having any nausea?"
3."Are you allergic to any medications?"
4."Do you have your nitroglycerin with you?"
22. The nurse has provided dietary instructions to a client with coronary artery disease.
Which statement by the client indicates an understanding of the dietary instructions?
1."I'll need to become a strict vegetarian."
2."I should use polyunsaturated oils in my diet."
3."I need to substitute eggs and whole milk for meat."
4."I should eliminate all cholesterol and fat from my diet."
23. A client is admitted to the visiting nurse service for assessment and follow-up after
being discharged from the hospital with new-onset heart failure (HF). The nurse teaches the
, client about the dietary restrictions required with HF. Which statement by the client indicates
that further teaching is needed?
1."I'm not supposed to eat cold cuts."
2."I can have most fresh fruits and vegetables."
3."I'm going to weigh myself daily to be sure I don't gain too much fluid."
4."I'm going to have a ham and cheese sandwich and potato chips for lunch."
24. 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
25. The nurse is trying to determine the ability of the client with myocardial infarction (MI)
to manage independently at home after discharge. Which statement by the client is the
strongest indicator of the potential for difficulty after discharge? 1."I need to start exercising
more to improve my health."
2."I will be sure to keep my appointment with the cardiologist."
3."I don't have anyone to help me with doing heavy housework at home."
4."I think I have a good understanding of what all my medications are for."
26. 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."
34.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
