NCLEX Actual Exam (2025) comprehensive
questions and verified answers ( detailed & elaborated)
ACTUAL EXAM 2025 TEST!!
cardiovascular system
The nurse is admitting a client with an ulcer on the right foot. Which statement
made by the client indicates venous insufficiency? Select all that apply.
A. "My ankles swell up all the time."
D. "My veins really stick out in my legs."
E. "My ankles have been discolored for years."
The nurse is teaching a client with stage 1 hypertension. Which client
statement indicates understanding of dietary modifications?
D. "I will drink a glass of low fat milk with my breakfast."
A client is admitted to the hospital with an abdominal aortic aneurysm. Which
assessment data would cause the nurse to suspect that the aneurysm has
ruptured?
B. Sudden, severe low back pain and bruising along the flank
The nurse is caring for a client receiving intravenous heparin for treatment of
DVT that begins to begins to vomit blood. What action should the nurse be
prepared to take?
B. Stop the infusion of heparin
The nurse is teaching a class about mechanical properties of the heart. What
teaching will the nurse include?
Preload is the degree of stretch in the myocardial fibers
Which action will the nurse delegate to experienced assistive personnel (AP)
working in the cardiac catheterization laboratory?
Obtain client vital signs and a resting electrocardiogram (ECG).
Which assessment data is most important for the nurse to report to the
primary care provider prior to a coronary arteriogram?
The client develops wheezes and dyspnea after eating crab or lobster.
, The nurse is assessing a client with mitral stenosis who is to undergo a
transesophageal echocardiogram (TEE) today. Which nursing action
is essential?
Validate that the client has remained NPO.
A client with heart failure reports a 7.6-lb (3.4 kg) weight gain in the past week.
What intervention does the nurse anticipate from the primary health care
provider?
Daily weight monitoring
A client recovering from cardiac angiography develops slurred speech. What
will the nurse do first?
Perform a neurologic assessment and notify the primary care provider.
The nurse is caring for a client who experienced a recent cardiac event. Which
client statement indicates maladaptive denial?
"I don't need to change. It hasn't killed me yet."
A client who is to undergo cardiac catheterization must be taught which
essential information by the nurse?
"Keep your affected leg straight for 2 to 6 hours."
A client who is suffering from dyspnea on exertion and heart failure (HF)
will most likely report which symptom during the health history?
Fatigue
Which client has the highest risk for cardiovascular disease?
Man who smokes and whose father died at 49 of myocardial infarction (MI).
Which client assessment data is most consistent with cardiac pain requiring
the nurse to notify the primary health care provider?
Reports of pressure in the upper abdomen and sternum and diaphoresis
Which nursing statement reflects appropriate cardiac physical assessment
technique?
"I will auscultate the aortic valve in the second intercostal space at the right sternal
border."
The nurse is conducting an admission assessment on a male client. Which
assessment data is a risk factor for cardiovascular disease? Select all that
apply.
A. BMI of 26
D. Moderate exercise for 20-30 minutes weekly
questions and verified answers ( detailed & elaborated)
ACTUAL EXAM 2025 TEST!!
cardiovascular system
The nurse is admitting a client with an ulcer on the right foot. Which statement
made by the client indicates venous insufficiency? Select all that apply.
A. "My ankles swell up all the time."
D. "My veins really stick out in my legs."
E. "My ankles have been discolored for years."
The nurse is teaching a client with stage 1 hypertension. Which client
statement indicates understanding of dietary modifications?
D. "I will drink a glass of low fat milk with my breakfast."
A client is admitted to the hospital with an abdominal aortic aneurysm. Which
assessment data would cause the nurse to suspect that the aneurysm has
ruptured?
B. Sudden, severe low back pain and bruising along the flank
The nurse is caring for a client receiving intravenous heparin for treatment of
DVT that begins to begins to vomit blood. What action should the nurse be
prepared to take?
B. Stop the infusion of heparin
The nurse is teaching a class about mechanical properties of the heart. What
teaching will the nurse include?
Preload is the degree of stretch in the myocardial fibers
Which action will the nurse delegate to experienced assistive personnel (AP)
working in the cardiac catheterization laboratory?
Obtain client vital signs and a resting electrocardiogram (ECG).
Which assessment data is most important for the nurse to report to the
primary care provider prior to a coronary arteriogram?
The client develops wheezes and dyspnea after eating crab or lobster.
, The nurse is assessing a client with mitral stenosis who is to undergo a
transesophageal echocardiogram (TEE) today. Which nursing action
is essential?
Validate that the client has remained NPO.
A client with heart failure reports a 7.6-lb (3.4 kg) weight gain in the past week.
What intervention does the nurse anticipate from the primary health care
provider?
Daily weight monitoring
A client recovering from cardiac angiography develops slurred speech. What
will the nurse do first?
Perform a neurologic assessment and notify the primary care provider.
The nurse is caring for a client who experienced a recent cardiac event. Which
client statement indicates maladaptive denial?
"I don't need to change. It hasn't killed me yet."
A client who is to undergo cardiac catheterization must be taught which
essential information by the nurse?
"Keep your affected leg straight for 2 to 6 hours."
A client who is suffering from dyspnea on exertion and heart failure (HF)
will most likely report which symptom during the health history?
Fatigue
Which client has the highest risk for cardiovascular disease?
Man who smokes and whose father died at 49 of myocardial infarction (MI).
Which client assessment data is most consistent with cardiac pain requiring
the nurse to notify the primary health care provider?
Reports of pressure in the upper abdomen and sternum and diaphoresis
Which nursing statement reflects appropriate cardiac physical assessment
technique?
"I will auscultate the aortic valve in the second intercostal space at the right sternal
border."
The nurse is conducting an admission assessment on a male client. Which
assessment data is a risk factor for cardiovascular disease? Select all that
apply.
A. BMI of 26
D. Moderate exercise for 20-30 minutes weekly
