253 - Cardiovascular NCLEX
Questions with Correct Verified. Latest
2025-2026. Graded A
A client admitted to the hospital with coronary artery disease complains of
dyspnea at rest. The nurse caring for the client uses which item as the best
means to monitor respiratory status on an ongoing basis?
1. Apnea monitor
2.Oxygen flowmeter
3.Telemetry cardiac monitor
4.Oxygen saturation monitor - ANS4.
Dyspnea in the cardiac client often is accompanied by hypoxemia.
Hypoxemia can be detected by an oxygen saturation monitor, especially if it
is used continuously. An apnea monitor detects apnea episodes, such as
when the client has stopped breathing briefly. An oxygen flowmeter is part
of the setup for delivering oxygen therapy. Cardiac monitors detect
dysrhythmias.
Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process: Implementation
Content Area: Adult Health: Cardiovascular
Strategy(s): Strategic Words
Priority Concepts: Clinical Judgment, Gas Exchange
1
,A client has developed uncontrolled atrial fibrillation with a ventricular rate
of 150 beats/min. What manifestation should the nurse observe for when
performing the client's focused assessment?
1.Flat neck veins
2.Nausea and vomiting
3.Hypotension and dizziness
4.Clubbed fingertips and headache - ANS3.
The client with uncontrolled atrial fibrillation with a ventricular rate greater
than 100 beats/min is at risk for low cardiac output due to loss of atrial kick.
The nurse assesses the client for palpitations, chest pain or discomfort,
hypotension, pulse deficit, fatigue, weakness, dizziness, syncope,
shortness of breath, and distended neck veins.
Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process: Assessment
Content Area: Adult Health: Cardiovascular
Strategy(s): Subject
Priority Concepts: Clinical Judgment, Perfusion
A client has experienced a myocardial infarction. The nurse plans care for
the client, knowing that the person's chest pain is caused by tissue hypoxia
in which layer of the heart?
1.Myocardium
2.Endocardium
3.Parietal pericardium
4.Visceral pericardium - ANS1.
2
,The myocardial layer of the heart is damaged when a client experiences a
myocardial infarction. This is the middle layer that contains the striated
muscle fibers responsible for the contractile force of the heart. The
endocardium is the thin inner layer of cardiac tissue. The parietal
pericardium and visceral pericardium are outer layers that protect the heart
from injury and infection.
Cognitive Ability: Understanding
Client Needs: Physiological Integrity
Integrated Process: Nursing Process: Planning
Content Area: Adult Health: Cardiovascular
Strategy(s): Subject
Priority Concepts: Clinical Judgment, Perfusion
A client has received antidysrhythmic therapy for the treatment of
premature ventricular contractions (PVCs). The nurse evaluates this
therapy as most effective if the client's PVCs continued to exhibit which
finding?
1.Occur in pairs
2.Appear to be multifocal
3.Fall on the second half of the T wave
4.Decrease to a frequency of less than 6 per minute - ANS4.
PVCs are considered dangerous when they are frequent (more than 6 per
minute), occur in pairs or couplets, are multifocal (multiform), or fall on the
T wave. In each of these instances, the client's cardiac rhythm is likely to
degenerate into ventricular tachycardia or ventricular fibrillation, both of
which are potentially deadly dysrhythmias.
3
, Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process: Evaluation
Content Area: Adult Health: Cardiovascular
Strategy(s): Subject, Strategic Words
Priority Concepts: Clinical Judgment, Perfusion
A client is having frequent premature ventricular contractions. The nurse
should place priority on assessment of which item?
1.Sensation of palpitations
2.Causative factors, such as caffeine
3.Precipitating factors, such as infection
4.Blood pressure and oxygen saturation - ANS4.
Premature ventricular contractions can cause hemodynamic compromise.
Therefore, the priority is to monitor the blood pressure and oxygen
saturation. The shortened ventricular filling time can lead to decreased
cardiac output. The client may be asymptomatic or may feel palpitations.
Premature ventricular contractions can be caused by cardiac disorders,
states of hypoxemia, or by any number of physiological stressors, such as
infection, illness, surgery, or trauma, and by intake of caffeine, nicotine, or
alcohol.
Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process: Assessment
Content Area: Adult Health: Cardiovascular
4
Questions with Correct Verified. Latest
2025-2026. Graded A
A client admitted to the hospital with coronary artery disease complains of
dyspnea at rest. The nurse caring for the client uses which item as the best
means to monitor respiratory status on an ongoing basis?
1. Apnea monitor
2.Oxygen flowmeter
3.Telemetry cardiac monitor
4.Oxygen saturation monitor - ANS4.
Dyspnea in the cardiac client often is accompanied by hypoxemia.
Hypoxemia can be detected by an oxygen saturation monitor, especially if it
is used continuously. An apnea monitor detects apnea episodes, such as
when the client has stopped breathing briefly. An oxygen flowmeter is part
of the setup for delivering oxygen therapy. Cardiac monitors detect
dysrhythmias.
Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process: Implementation
Content Area: Adult Health: Cardiovascular
Strategy(s): Strategic Words
Priority Concepts: Clinical Judgment, Gas Exchange
1
,A client has developed uncontrolled atrial fibrillation with a ventricular rate
of 150 beats/min. What manifestation should the nurse observe for when
performing the client's focused assessment?
1.Flat neck veins
2.Nausea and vomiting
3.Hypotension and dizziness
4.Clubbed fingertips and headache - ANS3.
The client with uncontrolled atrial fibrillation with a ventricular rate greater
than 100 beats/min is at risk for low cardiac output due to loss of atrial kick.
The nurse assesses the client for palpitations, chest pain or discomfort,
hypotension, pulse deficit, fatigue, weakness, dizziness, syncope,
shortness of breath, and distended neck veins.
Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process: Assessment
Content Area: Adult Health: Cardiovascular
Strategy(s): Subject
Priority Concepts: Clinical Judgment, Perfusion
A client has experienced a myocardial infarction. The nurse plans care for
the client, knowing that the person's chest pain is caused by tissue hypoxia
in which layer of the heart?
1.Myocardium
2.Endocardium
3.Parietal pericardium
4.Visceral pericardium - ANS1.
2
,The myocardial layer of the heart is damaged when a client experiences a
myocardial infarction. This is the middle layer that contains the striated
muscle fibers responsible for the contractile force of the heart. The
endocardium is the thin inner layer of cardiac tissue. The parietal
pericardium and visceral pericardium are outer layers that protect the heart
from injury and infection.
Cognitive Ability: Understanding
Client Needs: Physiological Integrity
Integrated Process: Nursing Process: Planning
Content Area: Adult Health: Cardiovascular
Strategy(s): Subject
Priority Concepts: Clinical Judgment, Perfusion
A client has received antidysrhythmic therapy for the treatment of
premature ventricular contractions (PVCs). The nurse evaluates this
therapy as most effective if the client's PVCs continued to exhibit which
finding?
1.Occur in pairs
2.Appear to be multifocal
3.Fall on the second half of the T wave
4.Decrease to a frequency of less than 6 per minute - ANS4.
PVCs are considered dangerous when they are frequent (more than 6 per
minute), occur in pairs or couplets, are multifocal (multiform), or fall on the
T wave. In each of these instances, the client's cardiac rhythm is likely to
degenerate into ventricular tachycardia or ventricular fibrillation, both of
which are potentially deadly dysrhythmias.
3
, Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process: Evaluation
Content Area: Adult Health: Cardiovascular
Strategy(s): Subject, Strategic Words
Priority Concepts: Clinical Judgment, Perfusion
A client is having frequent premature ventricular contractions. The nurse
should place priority on assessment of which item?
1.Sensation of palpitations
2.Causative factors, such as caffeine
3.Precipitating factors, such as infection
4.Blood pressure and oxygen saturation - ANS4.
Premature ventricular contractions can cause hemodynamic compromise.
Therefore, the priority is to monitor the blood pressure and oxygen
saturation. The shortened ventricular filling time can lead to decreased
cardiac output. The client may be asymptomatic or may feel palpitations.
Premature ventricular contractions can be caused by cardiac disorders,
states of hypoxemia, or by any number of physiological stressors, such as
infection, illness, surgery, or trauma, and by intake of caffeine, nicotine, or
alcohol.
Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process: Assessment
Content Area: Adult Health: Cardiovascular
4
