CARDIAC NCLEX EXAM QUESTIONS AND
ANSWERS (VERIFIED AND WELL DETAILED
ANSWERS) LATEST UPDATE 2025/2026
,1) A client is scheduled for a cardiac catherization using a radiopaque dye. Which of the
following assessments is most critical before the procedure?
1. Intake and output
2. Baseline peripheral pulse rates
3. Height and weight
4. Allergy to iodine or shellfish - CORRECT ANSWER 4. Allergy to iodine or shellfish
This procedure requires an informed consent because it involves injection of a
radiopaque dye into the blood vessel. The risk of allergic reaction and possible
anaphylaxis is serious and must be assessed before the procedure.
2) A client with no history of cardiovascular disease comes into the ambulatory clinic
with flulike symptoms. The client suddenly complains of chest pain. Which of the
following questions would best help a nurse to discriminate pain caused by a non-cardiac
problem?
1. "Have you ever had this pain before?"
2. "Can you describe the pain to me?"
3. "Does the pain get worse when you breathe in?"
4. "Can you rate the pain on a scale of 1-10, with 10 being the worst?" -
CORRECT ANSWER 3."Does the pain get worse when you breathe in?"
, Chest pain is assessed by using the standard pain assessment parameters. Options 1, 2,
and 4 may or may not help discriminate the origin of pain. Pain of pleuropulmonary
origin usually worsens on inspiration.
3) A client with myocardial infarction has been transferred from a coronary care unit to
a general medical unit with cardiac monitoring via telemetry. A nurse plans to allow for
which of the following client activities?
1. Strict bed rest for 24 hours after transfer
2. Bathroom privileges and self-care activities
3. Unsupervised hallway ambulation with distances under 200 feet
4. Ad lib activities because the client is monitored. - CORRECT ANSWER 2.
Bathroom privileges and self-care activities
On transfer from the CCU, the client is allowed self-care activities and bathroom
privileges. Supervised ambulation for brief distances are encouraged, with distances
gradually increased (50, 100, 200 feet).
A nurse notes 2+ bilateral edema in the lower extremities of a client with myocardial
infarction who was admitted 2 days ago. The nurse would plan to do which of the
following next?
1. Review the intake and output records for the last 2 days
2. Change the time of diuretic administration from morning to evening
3. Request a sodium restriction of 1 g/day from the physician.
4. Order daily weights starting the following morning. - CORRECT ANSWER
1. Review the intake and output records for the last 2 days
Edema, the accumulation of excess fluid in the interstitial spaces, can be measured by
, intake greater than output and by a sudden increase in weight. Diuretics should be given
in the morning whenever possible to avoid nocturia. Strict sodium restrictions are
reserved for clients with severe symptoms.
ANSWERS (VERIFIED AND WELL DETAILED
ANSWERS) LATEST UPDATE 2025/2026
,1) A client is scheduled for a cardiac catherization using a radiopaque dye. Which of the
following assessments is most critical before the procedure?
1. Intake and output
2. Baseline peripheral pulse rates
3. Height and weight
4. Allergy to iodine or shellfish - CORRECT ANSWER 4. Allergy to iodine or shellfish
This procedure requires an informed consent because it involves injection of a
radiopaque dye into the blood vessel. The risk of allergic reaction and possible
anaphylaxis is serious and must be assessed before the procedure.
2) A client with no history of cardiovascular disease comes into the ambulatory clinic
with flulike symptoms. The client suddenly complains of chest pain. Which of the
following questions would best help a nurse to discriminate pain caused by a non-cardiac
problem?
1. "Have you ever had this pain before?"
2. "Can you describe the pain to me?"
3. "Does the pain get worse when you breathe in?"
4. "Can you rate the pain on a scale of 1-10, with 10 being the worst?" -
CORRECT ANSWER 3."Does the pain get worse when you breathe in?"
, Chest pain is assessed by using the standard pain assessment parameters. Options 1, 2,
and 4 may or may not help discriminate the origin of pain. Pain of pleuropulmonary
origin usually worsens on inspiration.
3) A client with myocardial infarction has been transferred from a coronary care unit to
a general medical unit with cardiac monitoring via telemetry. A nurse plans to allow for
which of the following client activities?
1. Strict bed rest for 24 hours after transfer
2. Bathroom privileges and self-care activities
3. Unsupervised hallway ambulation with distances under 200 feet
4. Ad lib activities because the client is monitored. - CORRECT ANSWER 2.
Bathroom privileges and self-care activities
On transfer from the CCU, the client is allowed self-care activities and bathroom
privileges. Supervised ambulation for brief distances are encouraged, with distances
gradually increased (50, 100, 200 feet).
A nurse notes 2+ bilateral edema in the lower extremities of a client with myocardial
infarction who was admitted 2 days ago. The nurse would plan to do which of the
following next?
1. Review the intake and output records for the last 2 days
2. Change the time of diuretic administration from morning to evening
3. Request a sodium restriction of 1 g/day from the physician.
4. Order daily weights starting the following morning. - CORRECT ANSWER
1. Review the intake and output records for the last 2 days
Edema, the accumulation of excess fluid in the interstitial spaces, can be measured by
, intake greater than output and by a sudden increase in weight. Diuretics should be given
in the morning whenever possible to avoid nocturia. Strict sodium restrictions are
reserved for clients with severe symptoms.
