CARDIAC NCLEX EXAM 2025 /NCLEX CARDIAC EXAM ACTUAL EXAM 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Terms in this set (50)
1) A client is scheduled for a cardiac 4. Allergy to iodine or shellfish
catherization using a radiopaque
dye. Which of the following This procedure requires an informed consent because it
assessments is most critical involves injection of a radiopaque dye into the blood vessel.
before the procedure? The risk of allergic reaction and possible anaphylaxis is serious
1. Intake and output and must be assessed before the procedure.
2. Baseline peripheral pulse rates
3. Height and weight
4. Allergy to iodine or shellfish
2) A client with no history of 3."Does the pain get worse when you breathe in?"
cardiovascular disease comes into
the ambulatory clinic with flulike Chest pain is assessed by using the standard pain assessment
symptoms. The client suddenly parameters. Options 1, 2, and 4 may or may not help
complains of chest pain. Which of discriminate the origin of pain. Pain of
pleuropulmonary origin usually worsens on inspiration.
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?"
,3) A client with myocardial 2. Bathroom privileges and self-care activities
infarction has been transferred
from a coronary care unit to a On transfer from the CCU, the client is allowed self-care activities and
bathroom
general medical unit with
privileges. Supervised ambulation for brief distances are
cardiac
encouraged, with distances gradually increased (50, 100, 200
monitoring via telemetry. A nurse
feet).
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.
A nurse notes 2+ bilateral edema 1.Review the intake and output records for the last 2 days
in the lower extremities of a
client with Edema, the accumulation of excess fluid in the interstitial spaces,
myocardial infarction who was can be measured by intake greater than output and by a sudden
admitted 2 days ago. The nurse increase in weight. Diuretics should be given in the morning
would plan to do which of the whenever possible to avoid nocturia. Strict sodium
following next? restrictions are reserved for clients with severe symptoms.
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.
, A client is wearing a continuous 1. Check the client status and lead placement
cardiac
monitor, which begins to sound its Sudden loss of electrocardiogram complexes indicates ventricular asystole
alarm. A nurse sees no or
electrocardiogram possible electrode displacement. Accurate assessment of the client
complexes on the screen. The first and equipment is necessary to determine the cause and identify
action of the nurse is to: the appropriate intervention.
1. Check the client status
and lead placement
2. Press the recorder
button on the
electrocardiogram
console.
3. Call the physician
4. Call a code blue
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Terms in this set (50)
1) A client is scheduled for a cardiac 4. Allergy to iodine or shellfish
catherization using a radiopaque
dye. Which of the following This procedure requires an informed consent because it
assessments is most critical involves injection of a radiopaque dye into the blood vessel.
before the procedure? The risk of allergic reaction and possible anaphylaxis is serious
1. Intake and output and must be assessed before the procedure.
2. Baseline peripheral pulse rates
3. Height and weight
4. Allergy to iodine or shellfish
2) A client with no history of 3."Does the pain get worse when you breathe in?"
cardiovascular disease comes into
the ambulatory clinic with flulike Chest pain is assessed by using the standard pain assessment
symptoms. The client suddenly parameters. Options 1, 2, and 4 may or may not help
complains of chest pain. Which of discriminate the origin of pain. Pain of
pleuropulmonary origin usually worsens on inspiration.
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?"
,3) A client with myocardial 2. Bathroom privileges and self-care activities
infarction has been transferred
from a coronary care unit to a On transfer from the CCU, the client is allowed self-care activities and
bathroom
general medical unit with
privileges. Supervised ambulation for brief distances are
cardiac
encouraged, with distances gradually increased (50, 100, 200
monitoring via telemetry. A nurse
feet).
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.
A nurse notes 2+ bilateral edema 1.Review the intake and output records for the last 2 days
in the lower extremities of a
client with Edema, the accumulation of excess fluid in the interstitial spaces,
myocardial infarction who was can be measured by intake greater than output and by a sudden
admitted 2 days ago. The nurse increase in weight. Diuretics should be given in the morning
would plan to do which of the whenever possible to avoid nocturia. Strict sodium
following next? restrictions are reserved for clients with severe symptoms.
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.
, A client is wearing a continuous 1. Check the client status and lead placement
cardiac
monitor, which begins to sound its Sudden loss of electrocardiogram complexes indicates ventricular asystole
alarm. A nurse sees no or
electrocardiogram possible electrode displacement. Accurate assessment of the client
complexes on the screen. The first and equipment is necessary to determine the cause and identify
action of the nurse is to: the appropriate intervention.
1. Check the client status
and lead placement
2. Press the recorder
button on the
electrocardiogram
console.
3. Call the physician
4. Call a code blue
