NCLEX
CARDIAC NCLEX EXAM QUESTIONS
AND ANSWERS
A nurse is assisting a client who will wear a Holter monitor for continuous cardiac
monitoring over the next 24 hours. The nurse takes which of the following actions to
assist this client? - Gives the client a device holder to wear around the waist
A client is admitted to the hospital with a diagnosis of pericarditis. The nurse reviews the
client's record for which manifestation that differentiates pericarditis from other
cardiopulmonary problems? - Pericardial friction rub
A client diagnosed with angina pectoris returns to the nursing unit after experiencing an
angioplasty. The nurse reinforces instructions to the client regarding the procedure and
home care measures. Which statement by the client indicates an understanding of the
instructions? - "I need to adhere to my dietary restrictions."
A nurse is caring for a client with a diagnosis of myocardial infarction (MI). The client
reports chest pain. When the administration of a sublingual nitroglycerin tablet as
prescribed does not relieve the chest pain, the next nursing action is to: - Check the blood
pressure and administer another nitroglycerin tablet
A client has just returned from the cardiac catheterization laboratory. The left femoral
vessel was used as the access site. After returning the client to bed and collecting initial
data, the nurse places a sign above the bed stating that the client should remain on
bedrest: - With the head of the bed elevated no more than 15 degrees
A nurse understands that which of the following is a correct guideline for adult
cardiopulmonary resuscitation (CPR) for a health care provider? - Each rescue breath
should be given over 1 second and should produce a visible chest rise.
NCLEX
,NCLEX
A client complaining of chest pain has an as-needed (PRN) prescription for sublingual
nitroglycerin (Nitrostat). Before administering the medication to the client, the nurse
should first check the client's: - Blood pressure
A nurse is assisting in caring for a client in the telemetry unit and is monitoring the client
for cardiac changes indicative of hypokalemia. Which occurrence noted on the cardiac
monitor indicates the presence of hypokalemia? - ST-segment depression
A client has a history of left-sided heart failure. The nurse would look for the presence of
which of the following to determine whether the problem is currently active? - Bilateral
lung crackles
The client scheduled for a right femoropopliteal bypass graft is at risk for compromised
tissue perfusion to the extremity. The nurse takes which action before surgery to address
this risk? - Marking the location of the pedal pulses on the right leg
A client seeks medical attention for intermittent episodes in which the fingers of both
hands become cold, pale, and numb. The client states that they then become reddened and
swollen with a throbbing, achy pain. The nurse further collects data on the client to see
whether these episodes occur with: - Ingestion of coffee or chocolate
A nurse is caring for a client who is developing pulmonary edema. The client exhibits
respiratory distress, but the blood pressure is unchanged from the client's baseline. As an
immediate action before help arrives, the nurse would: - Place the client in high-Fowler's
position.
A nurse is using a stethoscope to listen to the client's heart and hears this sound. (Click on
the sound icon.) To assist in identifying the sound, the nurse should take which initial best
action? - Palpate the carotid pulse for a pulsation
NCLEX
, NCLEX
A nurse is caring for a client with Buerger's disease. Which finding would the nurse
determine is a potential complication associated with this disease? - Numbness and
tingling in the legs
A client has experienced several episodes of sickle cell crisis. Which instruction should
be included in the client's teaching plan to prevent recurrence? - Wear shoes and socks
when walking outside to prevent damage to the feet.
A nurse is planning to teach a client with peripheral arterial disease about measures to
limit disease progression. The nurse should include which items on a list of suggestions
to be given to the client? Select all that apply. - Cut down on the amount of fats
consumed in the diet
Walk each day to increase circulation to the legs.
Be careful not to injure the legs or feet.
Eat a well-balanced diet every day.
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air
hunger, and begins coughing frothy, pink-tinged sputum. A nurse listens to breath sounds,
expecting to hear bilateral: - Crackles
A nurse has reinforced dietary instructions to a client with coronary artery disease. Which
statement by the client indicates an understanding of the dietary instructions? - "I should
routinely use polyunsaturated oils in my diet."
A client has received instructions about an upcoming cardiac catheterization. The nurse
determines that the client has the best understanding of the procedure if the client knows
to report which of the following items? - Chest pain
NCLEX
CARDIAC NCLEX EXAM QUESTIONS
AND ANSWERS
A nurse is assisting a client who will wear a Holter monitor for continuous cardiac
monitoring over the next 24 hours. The nurse takes which of the following actions to
assist this client? - Gives the client a device holder to wear around the waist
A client is admitted to the hospital with a diagnosis of pericarditis. The nurse reviews the
client's record for which manifestation that differentiates pericarditis from other
cardiopulmonary problems? - Pericardial friction rub
A client diagnosed with angina pectoris returns to the nursing unit after experiencing an
angioplasty. The nurse reinforces instructions to the client regarding the procedure and
home care measures. Which statement by the client indicates an understanding of the
instructions? - "I need to adhere to my dietary restrictions."
A nurse is caring for a client with a diagnosis of myocardial infarction (MI). The client
reports chest pain. When the administration of a sublingual nitroglycerin tablet as
prescribed does not relieve the chest pain, the next nursing action is to: - Check the blood
pressure and administer another nitroglycerin tablet
A client has just returned from the cardiac catheterization laboratory. The left femoral
vessel was used as the access site. After returning the client to bed and collecting initial
data, the nurse places a sign above the bed stating that the client should remain on
bedrest: - With the head of the bed elevated no more than 15 degrees
A nurse understands that which of the following is a correct guideline for adult
cardiopulmonary resuscitation (CPR) for a health care provider? - Each rescue breath
should be given over 1 second and should produce a visible chest rise.
NCLEX
,NCLEX
A client complaining of chest pain has an as-needed (PRN) prescription for sublingual
nitroglycerin (Nitrostat). Before administering the medication to the client, the nurse
should first check the client's: - Blood pressure
A nurse is assisting in caring for a client in the telemetry unit and is monitoring the client
for cardiac changes indicative of hypokalemia. Which occurrence noted on the cardiac
monitor indicates the presence of hypokalemia? - ST-segment depression
A client has a history of left-sided heart failure. The nurse would look for the presence of
which of the following to determine whether the problem is currently active? - Bilateral
lung crackles
The client scheduled for a right femoropopliteal bypass graft is at risk for compromised
tissue perfusion to the extremity. The nurse takes which action before surgery to address
this risk? - Marking the location of the pedal pulses on the right leg
A client seeks medical attention for intermittent episodes in which the fingers of both
hands become cold, pale, and numb. The client states that they then become reddened and
swollen with a throbbing, achy pain. The nurse further collects data on the client to see
whether these episodes occur with: - Ingestion of coffee or chocolate
A nurse is caring for a client who is developing pulmonary edema. The client exhibits
respiratory distress, but the blood pressure is unchanged from the client's baseline. As an
immediate action before help arrives, the nurse would: - Place the client in high-Fowler's
position.
A nurse is using a stethoscope to listen to the client's heart and hears this sound. (Click on
the sound icon.) To assist in identifying the sound, the nurse should take which initial best
action? - Palpate the carotid pulse for a pulsation
NCLEX
, NCLEX
A nurse is caring for a client with Buerger's disease. Which finding would the nurse
determine is a potential complication associated with this disease? - Numbness and
tingling in the legs
A client has experienced several episodes of sickle cell crisis. Which instruction should
be included in the client's teaching plan to prevent recurrence? - Wear shoes and socks
when walking outside to prevent damage to the feet.
A nurse is planning to teach a client with peripheral arterial disease about measures to
limit disease progression. The nurse should include which items on a list of suggestions
to be given to the client? Select all that apply. - Cut down on the amount of fats
consumed in the diet
Walk each day to increase circulation to the legs.
Be careful not to injure the legs or feet.
Eat a well-balanced diet every day.
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air
hunger, and begins coughing frothy, pink-tinged sputum. A nurse listens to breath sounds,
expecting to hear bilateral: - Crackles
A nurse has reinforced dietary instructions to a client with coronary artery disease. Which
statement by the client indicates an understanding of the dietary instructions? - "I should
routinely use polyunsaturated oils in my diet."
A client has received instructions about an upcoming cardiac catheterization. The nurse
determines that the client has the best understanding of the procedure if the client knows
to report which of the following items? - Chest pain
NCLEX
