NCLEX CARDIAC EXAM/ CARDIAC NCLEX |
NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS with
rationales GRADED A+ | 100% PASS | 2026
UPDATE!
When teaching a patient why spironolactone (Aldactone) and
furosemide (Lasix) are prescribed together, the nurse bases teaching on
the knowledge that:
1.Moderate doses of two different types of diuretics are more effective
than a large dose of one type
2.This combination promotes diuresis but decreases the risk of
hypokalemia
3.This combination prevents dehydration and hypovolemia
4.Using two drugs increases osmolality of plasma and the glomerular
filtration rate - ANSWER 2.This combination promotes diuresis but
decreases the risk of hypokalemia
Spironolactone is a potassium-sparing diuretic; furosemide is a
potassium-loosing diuretic. Giving these together minimizes electrolyte
imbalance.
,A 45-year-old male client with leg ulcers and arterial insufficiency is
admitted to the hospital. The nurse understands that leg ulcers of this
nature are usually caused by:
1.Decreased arterial blood flow secondary to vasoconstriction
2.Decreased arterial blood flow leading to hyperemia
3.Atherosclerotic obstruction of the arteries
4.Trauma to the lower extremities - ANSWER 1. Decreased arterial
blood flow secondary to vasoconstriction
Decreased arterial flow is a result of vasospasm. The etiology is
unknown. It is more problematic in colder climates or when the person
is under stress. Hyperemia occurs when the vasospasm is relieved.
Following a treadmill test and cardiac catheterization, the client is
found to have coronary artery disease, which is inoperative. He is
referred to the cardiac rehabilitation unit. During his first visit to the
unit he says that he doesn't understand why he needs to be there
because there is nothing that can be done to make him better. The best
nursing response is:
1."Cardiac rehabilitation is not a cure but can help restore you to many
of your former activities."
2."Here we teach you to gradually change your lifestyle to
accommodate your heart disease."
3."You are probably right but we can gradually increase your activities
so that you can live a more active life."
, 4."Do you feel that you will have to make some changes in your life
now?" - ANSWER 1.
Such a response does not have false hope to the client but is positive
and realistic. The answer tells the client what cardiac rehabilitation is
and does not dwell upon his negativity about it.
To evaluate a client's condition following cardiac catheterization, the
nurse will palpate the pulse:
1.In all extremities
2.At the insertion site
3.Distal to the catheter insertion
4.Above the catheter insertion - ANSWER 3. Distal to the catheter
insertion
Palpating pulses distal to the insertion site is important to evaluate for
thrombophlebitis and vessel occlusion. They should be bilateral and
strong.
A client's physician orders nuclear cardiography and makes an
appointment for a thallium scan. The purpose of injecting
radioisotope into the bloodstream is to detect: 1.Normal vs. abnormal
tissue
2.Damage in areas of the heart
3.Ventricular function
NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS with
rationales GRADED A+ | 100% PASS | 2026
UPDATE!
When teaching a patient why spironolactone (Aldactone) and
furosemide (Lasix) are prescribed together, the nurse bases teaching on
the knowledge that:
1.Moderate doses of two different types of diuretics are more effective
than a large dose of one type
2.This combination promotes diuresis but decreases the risk of
hypokalemia
3.This combination prevents dehydration and hypovolemia
4.Using two drugs increases osmolality of plasma and the glomerular
filtration rate - ANSWER 2.This combination promotes diuresis but
decreases the risk of hypokalemia
Spironolactone is a potassium-sparing diuretic; furosemide is a
potassium-loosing diuretic. Giving these together minimizes electrolyte
imbalance.
,A 45-year-old male client with leg ulcers and arterial insufficiency is
admitted to the hospital. The nurse understands that leg ulcers of this
nature are usually caused by:
1.Decreased arterial blood flow secondary to vasoconstriction
2.Decreased arterial blood flow leading to hyperemia
3.Atherosclerotic obstruction of the arteries
4.Trauma to the lower extremities - ANSWER 1. Decreased arterial
blood flow secondary to vasoconstriction
Decreased arterial flow is a result of vasospasm. The etiology is
unknown. It is more problematic in colder climates or when the person
is under stress. Hyperemia occurs when the vasospasm is relieved.
Following a treadmill test and cardiac catheterization, the client is
found to have coronary artery disease, which is inoperative. He is
referred to the cardiac rehabilitation unit. During his first visit to the
unit he says that he doesn't understand why he needs to be there
because there is nothing that can be done to make him better. The best
nursing response is:
1."Cardiac rehabilitation is not a cure but can help restore you to many
of your former activities."
2."Here we teach you to gradually change your lifestyle to
accommodate your heart disease."
3."You are probably right but we can gradually increase your activities
so that you can live a more active life."
, 4."Do you feel that you will have to make some changes in your life
now?" - ANSWER 1.
Such a response does not have false hope to the client but is positive
and realistic. The answer tells the client what cardiac rehabilitation is
and does not dwell upon his negativity about it.
To evaluate a client's condition following cardiac catheterization, the
nurse will palpate the pulse:
1.In all extremities
2.At the insertion site
3.Distal to the catheter insertion
4.Above the catheter insertion - ANSWER 3. Distal to the catheter
insertion
Palpating pulses distal to the insertion site is important to evaluate for
thrombophlebitis and vessel occlusion. They should be bilateral and
strong.
A client's physician orders nuclear cardiography and makes an
appointment for a thallium scan. The purpose of injecting
radioisotope into the bloodstream is to detect: 1.Normal vs. abnormal
tissue
2.Damage in areas of the heart
3.Ventricular function
