Cardiovascular NCLEX Questions | Key Questions
with 100% Correct Answers (2025)
Question Correct Answer
1. A client reports chest pain unrelieved by rest or nitroglycerin. a. Administer
Which of the following actions should the nurse take first? a. oxygen
Administer oxygen b. Notify the provider c. Obtain a 12-lead ECG d.
Check troponin levels
2. A client with atrial fibrillation is prescribed warfarin. Which lab b. INR
result should the nurse monitor to determine the effectiveness of the
medication? a. aPTT b. INR c. Platelet count d. Hemoglobin
3. Which finding in a client with left-sided heart failure should the a. Bilateral
nurse report immediately? a. Bilateral crackles in lungs b. Weight crackles in lungs
gain of 1 lb overnight c. Mild dyspnea with exertion d. SpO₂ of 94%
on room air
4. A nurse is caring for a client receiving IV heparin therapy. Which c. aPTT 110
lab result indicates the need to adjust the infusion rate? a. Hematocrit seconds
42% b. Platelets 300,000/mm³ c. aPTT 110 seconds d. INR 1.1
,5. A client is diagnosed with peripheral arterial disease (PAD). Which c. “I will apply
client statement requires further teaching? a. “I will keep my legs heating pads to
below the level of my heart when resting.” b. “I will avoid crossing improve
my legs when sitting.” c. “I will apply heating pads to improve circulation.”
circulation.” d. “I will walk until pain starts, then rest and resume.”
6. A nurse is assessing a client with pericarditis. Which symptom is b. Sharp chest pain
expected? a. Bradycardia b. Sharp chest pain relieved by sitting up c. relieved by sitting
Bilateral crackles d. Chest pain worsens when sitting up up
7. A client post-MI is prescribed metoprolol. Which of the following a. Heart rate of 56
findings should the nurse report? a. Heart rate of 56 bpm b. Blood bpm
pressure 118/78 mm Hg c. Respiratory rate 18 bpm d. Potassium 4.1
mEq/L
8. A nurse is caring for a client with a new prescription for lisinopril. b. Dry cough
Which of the following is an adverse effect of this medication? a.
Constipation b. Dry cough c. Weight gain d. Tachycardia
9. Which of the following ECG changes is most concerning in a c. ST segment
client with chest pain? a. Sinus bradycardia b. Occasional PVCs c. elevation
ST segment elevation d. First-degree AV block
10. A nurse is assessing a client with right-sided heart failure. Which b. Peripheral
of the following findings should the nurse expect? a. Crackles in edema
lungs b. Peripheral edema c. Shortness of breath d. Orthopnea
, Cardiovascular NCLEX Questions | Key Questions with 100% Correct Answers (2025)
Question Correct Answer
11. A nurse is monitoring a client after a cardiac catheterization c. Absent right
through the right femoral artery. Which finding requires immediate pedal pulse
action? a. Pain at insertion site b. Small hematoma c. Absent right
pedal pulse d. Blood pressure 130/86 mm Hg
12. Which of the following foods should be avoided by a client a. Green leafy
taking warfarin? a. Green leafy vegetables b. Low-fat yogurt c. vegetables
Baked chicken d. Applesauce
13. A nurse is reviewing discharge teaching for a client with newly c. “I can stop the
diagnosed hypertension. Which client statement indicates a need for medication once
further teaching? a. “I’ll reduce my sodium intake.” b. “I’ll take my my BP is normal.”
medication even if I feel fine.” c. “I can stop the medication once my
BP is normal.” d. “I’ll exercise at least 30 minutes most days.”
14. What is the priority nursing action for a client with suspected c. Initiate large-
aortic aneurysm rupture? a. Place the client in Trendelenburg bore IV access
position b. Administer antihypertensives c. Initiate large-bore IV
access d. Apply cold compress to abdomen
with 100% Correct Answers (2025)
Question Correct Answer
1. A client reports chest pain unrelieved by rest or nitroglycerin. a. Administer
Which of the following actions should the nurse take first? a. oxygen
Administer oxygen b. Notify the provider c. Obtain a 12-lead ECG d.
Check troponin levels
2. A client with atrial fibrillation is prescribed warfarin. Which lab b. INR
result should the nurse monitor to determine the effectiveness of the
medication? a. aPTT b. INR c. Platelet count d. Hemoglobin
3. Which finding in a client with left-sided heart failure should the a. Bilateral
nurse report immediately? a. Bilateral crackles in lungs b. Weight crackles in lungs
gain of 1 lb overnight c. Mild dyspnea with exertion d. SpO₂ of 94%
on room air
4. A nurse is caring for a client receiving IV heparin therapy. Which c. aPTT 110
lab result indicates the need to adjust the infusion rate? a. Hematocrit seconds
42% b. Platelets 300,000/mm³ c. aPTT 110 seconds d. INR 1.1
,5. A client is diagnosed with peripheral arterial disease (PAD). Which c. “I will apply
client statement requires further teaching? a. “I will keep my legs heating pads to
below the level of my heart when resting.” b. “I will avoid crossing improve
my legs when sitting.” c. “I will apply heating pads to improve circulation.”
circulation.” d. “I will walk until pain starts, then rest and resume.”
6. A nurse is assessing a client with pericarditis. Which symptom is b. Sharp chest pain
expected? a. Bradycardia b. Sharp chest pain relieved by sitting up c. relieved by sitting
Bilateral crackles d. Chest pain worsens when sitting up up
7. A client post-MI is prescribed metoprolol. Which of the following a. Heart rate of 56
findings should the nurse report? a. Heart rate of 56 bpm b. Blood bpm
pressure 118/78 mm Hg c. Respiratory rate 18 bpm d. Potassium 4.1
mEq/L
8. A nurse is caring for a client with a new prescription for lisinopril. b. Dry cough
Which of the following is an adverse effect of this medication? a.
Constipation b. Dry cough c. Weight gain d. Tachycardia
9. Which of the following ECG changes is most concerning in a c. ST segment
client with chest pain? a. Sinus bradycardia b. Occasional PVCs c. elevation
ST segment elevation d. First-degree AV block
10. A nurse is assessing a client with right-sided heart failure. Which b. Peripheral
of the following findings should the nurse expect? a. Crackles in edema
lungs b. Peripheral edema c. Shortness of breath d. Orthopnea
, Cardiovascular NCLEX Questions | Key Questions with 100% Correct Answers (2025)
Question Correct Answer
11. A nurse is monitoring a client after a cardiac catheterization c. Absent right
through the right femoral artery. Which finding requires immediate pedal pulse
action? a. Pain at insertion site b. Small hematoma c. Absent right
pedal pulse d. Blood pressure 130/86 mm Hg
12. Which of the following foods should be avoided by a client a. Green leafy
taking warfarin? a. Green leafy vegetables b. Low-fat yogurt c. vegetables
Baked chicken d. Applesauce
13. A nurse is reviewing discharge teaching for a client with newly c. “I can stop the
diagnosed hypertension. Which client statement indicates a need for medication once
further teaching? a. “I’ll reduce my sodium intake.” b. “I’ll take my my BP is normal.”
medication even if I feel fine.” c. “I can stop the medication once my
BP is normal.” d. “I’ll exercise at least 30 minutes most days.”
14. What is the priority nursing action for a client with suspected c. Initiate large-
aortic aneurysm rupture? a. Place the client in Trendelenburg bore IV access
position b. Administer antihypertensives c. Initiate large-bore IV
access d. Apply cold compress to abdomen
