6/19/2021
cardiovascular NCLEX questions Flashcards | Quizlet
cardiovascular NCLEX questions
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cardiovascular NCLEX questions
Terms in this set (84)
A 65-year-old male develops blockage in the pulmonary artery. As a
d. Right ventricle
result of the blockage, blood would first back up into the:
a. Aorta
b. Left ventricle
c. Pulmonary veins
d. Right ventricle
A nurse is teaching about the heart. Which information should the nurse
c. Left ventricle
include? The chamber of the heart that generates the highest pressure is
the:
a. Right atrium
b. Left atrium
c. Left ventricle
d. Right ventricle
A nurse recalls the chamber that receives blood from the systemic
a. Right atrium
circulation is the:
a. Right atrium
b. Right ventricle
c. Left atrium
d. Left ventricle
Which statement indicates the nurse understands blood flow?
b. Pulmonary veins
Oxygenated blood flows through the:
a. Superior vena cava
b. Pulmonary veins
c. Pulmonary artery
d. Cardiac veins
The nurse is planning care for a patient with heart problems. Which
c. Left anterior descending
information should the nurse remember? The _____ artery travels down
the interventricular septum and delivers blood to portions of the left
and right ventricle.
a. Right coronary
b. Circumflex
c. Left anterior descending
d. Cardiac
When a staff member asks where venous blood from the coronary
c. Right atrium
circulation drains into, what is the best response by the nurse? The:
a. Superior vena cava
b. Inferior vena cava
c. Right atrium
d. Reft atrium
While viewing the electrocardiogram, the nurse recalls the _____ conducts
b. Bundle of His
action potentials down the atrioventricular septum.
a. Bachmann bundle
b. Bundle of His
c. Sinoatrial node
d. Atrioventricular node
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A 13-year-old
female took a weight loss
drug that
activated the
cardiovascular
NCLEX
questions
cardiovascular NCLEX questions Flashcards | Quizlet
c. Increased cardiac conduction
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sympathetic nervous system. Which of the following assessment findings
would the nurse expect?
a. Decreased myocardial contraction
b. Decreased heart rate
c. Increased cardiac conduction
d. Increased intranodal conduction time
A 50-year-old female received trauma to the chest that caused severe
b. Sinoatrial (SA) node
impairment of the primary pacemaker cells of the heart. Which of the
following areas received the greatest damage?
a. Atrioventricular (AV) node
b. Sinoatrial (SA) node
c. Bundle of His
d. Ventricles
A nurse assesses the heart after acetylcholine because the effect of
d. Decrease the heart rate
acetylcholine on the heart is to
a. Decrease the refractory period
b. Increase calcium influx
c. Increase the strength of myocardial contraction
d. Decrease the heart rate
A nurse is discussing the pressure generated at the end of diastole.
a. Preload
Which term is the nurse describing?
a. Preload
b. Afterload
c. Systemic vascular resistance
d. Total peripheral resistance
Which principle should the nurse remember when planning nursing care
b. Volume, force
for a patient with heart problems? As stated by the Frank-Starling law,
there is a direct relationship between the _____ of the blood in the heart
at the end of diastole and the _____ of contraction during the next systole.
a. Pressure, duration
b. Volume, force
c. Viscosity, force
d. Viscosity, duration
Within a normal physiologic range, an increase in left ventricular end-
a. An increased force of contraction
diastolic volume would lead the nurse to monitor for:
a. An increased force of contraction
b. A decrease in cardiac output
c. An increase in heart rate
d. Heart failure
While planning care for a heart patient, which principle should the nurse
d. Pulmonary vascular resistance
recall? Right ventricular afterload is affected by:
a. Vascular resistance in the systemic vessels
b. Right end-diastolic pressure
c. Pressures in the vena cava
d. Pulmonary vascular resistance
Which principle should the nurse remember while planning care for a
b. Aorta
cardiac patient? Pressure in the left ventricle must exceed pressure in
the _____ before the left ventricle can eject blood.
a. Coronary arteries
b. Aorta
c. Inferior vena cava
d. Pulmonary veins
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A 50-year-old
female presents with a
low heart questions
rate and low blood
cardiovascular
NCLEX
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d. Increased heart rate
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pressure. She is given an intravenous (IV) infusion of fluids. The increase
in atrial distension results in:
a. Renal retention of fluids
b. Depressed myocardial contractility
c. Release of acetylcholine
d. Increased heart rate
A nurse observes a cardiologist multiplying the heart rate by stroke
c. Cardiac output
volume. What is the cardiologist measuring?
a. Vascular resistance
b. Preload
c. Cardiac output
d. Ejection fraction
A patient researches baroreceptors online. Which information indicates
c. Carotid sinus
a good understanding? Baroreceptors are located in the:
a. Renal artery
b. Superior vena cava
c. Carotid sinus
d. Circle of Willis
A nurse is evaluating the direct end effect of the renin-angiotensin-
a. Angiotensin II causes systemic vasoconstriction.
aldosterone system. Which principle should the nurse remember?
a. Angiotensin II causes systemic vasoconstriction.
b. Renin promotes the excretion of sodium and water in the renal
tubules.
c. Aldosterone increases renal retention of water only.
d. Angiotensin I promotes sodium and water reabsorption by the
kidneys.
When a patient wants to know about the renin-angiotensin-aldosterone
a. Lungs
system, what is the nurse's best response? Conversion of angiotensin I to
angiotensin II happens in the:
a. Lungs
b. Liver
c. Kidneys
d. Heart
A nurse is discussing the different types of regulation. Which regulation
c. Autoregulation
is the nurse describing? Local myogenic regulation of blood vessel
diameter and thus blood flow through a vessel is an example of:
a. Autonomic regulation
b. Somatic regulation
c. Autoregulation
d. Metabolic regulation
The pulmonologist is presenting a workshop over the lungs. Which
a. Vagus
information should be included? The lung receives parasympathetic
innervation by the _____ nerve.
a. Vagus
b. Phrenic
c. Brachial
d. Pectoral
If an individual with respiratory difficulty were retaining too much
a. Increase in respiratory rate
carbon dioxide, which of the following compensatory responses would
the nurse expect to be initiated?
a. Increase in respiratory rate
b. Decrease in ventilation rate
c. Increase in tidal volume
d. Vasodilation of the pulmonary arterioles
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A nurse remembers
the majority of total
airway questions
resistance occurs in the:
cardiovascular
NCLEX
b. Nose
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a. Bronchi
b. Nose
c. Oral pharynx
d. Diaphragm
An aide asks a nurse how surfactant works. How should the nurse
c. Decreasing surface tension in alveoli
respond? Surfactant facilitates alveolar distention and ventilation by:
a. Decreasing thoracic compliance
b. Attracting water to the alveolar surface
c. Decreasing surface tension in alveoli
d. Increasing diffusion in alveoli
A patient asks how oxygen is transported in the body. What is the nurse's
b. Bound to hemoglobin
best response? Most of the oxygen (O2) is transported
a. Dissolved in the plasma
b. Bound to hemoglobin
c. In the form of carbon dioxide (CO2)
d. As a free-floating molecule
A consequence of alveolar hypoxia is:
d. Pulmonary artery vasoconstriction
a. Reactive vasodilation
b. Local bronchoconstriction
c. Decreased respiratory rate
d. Pulmonary artery vasoconstriction
A patient is taking enalapril (Vasotec) an ACE inhibitor. The nurse
c. hyperkalemia
understands that patients taking this type of drug for heart failure need
to be monitored carefully for:
a. hypernatremia.
b. hypertension.
c. hyperkalemia.
d. hypokalemia.
A nurse is discussing heart failure with a group of nursing students.
c. When the heart rate increases to increase cardiac output, it can prevent adequate filling of the ventricles."
Which statement by a student reflects an understanding of how
compensatory mechanisms can compound existing problems in patients
with heart failure?
a. "An increase in arteriolar tone to improve tissue perfusion can
decrease resistance."
b. "An increase in contractility to increase cardiac output can cause
pulmonary edema."
c. "When the heart rate increases to increase cardiac output, it can
prevent adequate filling of the ventricles."
d. "When venous tone increases to increase ventricular filling, an
increase in arterial pressure occurs."
A patient with chronic hypertension is admitted to the hospital. During
c. Furosemide (Lasix)
the admission assessment, the nurse notes a heart rate of 96 beats per
minute, a blood pressure of 150/90 mm Hg, bibasilar crackles, 2+ pitting
edema of the ankles, and distension of the jugular veins. The nurse will
contact the provider to request an order for which medication?
a. ACE inhibitor
b. Digoxin (Lanoxin)
c. Furosemide (Lasix)
d. Spironolactone (Aldactone)
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A diabetic patient
is recovering fromNCLEX
a myocardial
infarction but does
cardiovascular
questions
cardiovascular NCLEX questions Flashcards | Quizlet
a. ACE inhibitors and beta blockers
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not have symptoms of heart failure. The nurse will expect to teach this
patient about:
a. ACE inhibitors and beta blockers.
b. biventricular pacemakers.
c. dietary supplements and exercise.
d. diuretics and digoxin.
A patient with heart failure who has been taking an ACE inhibitor, a
d. serum electrolyte levels.
thiazide diuretic, and a beta blocker for several months comes to the
clinic for evaluation. As part of the ongoing assessment of this patient,
the nurse will expect the provider to evaluate:
a. complete blood count.
b. ejection fraction.
c. maximal exercise capacity.
d. serum electrolyte levels.
The potassium-sparing diuretic spironolactone (Aldactone) prolongs
a. Blocking aldosterone receptors
survival and improves heart failure symptoms by which mechanism?
a. Blocking aldosterone receptors
b. Increasing diuresis
c. Reducing venous pressure
d. Reducing afterload
A nurse prepares to administer a scheduled dose of digoxin. The nurse
d. Check the patient's apical pulse, and if it is within a safe range, administer the digoxin.
finds a new laboratory report showing a plasma digoxin level of 0.7
ng/mL. What action should the nurse take?
a. Withhold the drug for an hour and reassess the level.
b. Withhold the drug and notify the prescriber immediately.
c. Administer Digibind to counteract the toxicity.
d. Check the patient's apical pulse, and if it is within a safe range,
administer the digoxin.
A man asks a nurse why he cannot use digoxin (Lanoxin) for his heart
b. It does not correct the underlying pathology of heart failure.
failure, because both of his parents used it for HF. The nurse will explain
that digoxin is not first-line therapy for which reason?
Digoxin improves cardiac output, alters electrical effects, and helps to decrease sympathetic outflow from the
central nervous system (CNS) through its neurohormonal effects; however, it does not alter the underlying
a. It causes tachycardia and increases the cardiac workload.
pathology of heart failure or prevent cardiac remodeling. Digoxin causes bradycardia and increases the cardiac
b. It does not correct the underlying pathology of heart failure.
workload by increasing contractility. It has a narrow therapeutic range and many adverse effects. Digoxin does
c. It has a wide therapeutic range that makes dosing difficult.
not improve life expectancy; in women it may actually shorten life expectancy.
d. It may actually shorten the patient's life expectancy.
A nurse is preparing to administer digoxin (Lanoxin) to a patient. The
b. Give the dose of digoxin and notify the provider of the potassium level.
patient's heart rate is 62 beats per minute, and the blood pressure is
120/60 mm Hg. The last serum electrolyte value showed a potassium
The patient's serum potassium level is above normal limits, but only slightly. An elevated potassium level can
level of 5.2 mEq/L. What will the nurse do?
reduce the effects of digoxin, so there is no risk of toxicity. There is no indication that an increased dose of
digoxin is needed. There is no indication for a diuretic. The heart rate is acceptable; doses should be withheld if
a. Contact the provider to request an increased dose of digoxin.
the heart rate is less than 60 beats per minute.
b. Give the dose of digoxin and notify the provider of the potassium
level.
c. Request an order for a diuretic.
d. Withhold the dose and notify the provider of the heart rate.
A patient with heart failure who has been given digoxin (Lanoxin) daily
a. Assess the heart rate (HR) and give the dose if the HR is greater than 60 beats per minute.
for a week complains of nausea. Before giving the next dose, the nurse
will:
Anorexia, nausea, and vomiting are the most common adverse effects of digoxin and should cause nurses to
evaluate for more serious signs of toxicity. If the HR is greater than 60 beats per minute, the dose may be given.
a. Assess the heart rate (HR) and give the dose if the HR is greater than
Nausea by itself is not a sign of toxicity. A decreased dose is not indicated. A serum potassium level less than 3.5
60 beats per minute.
mEq/L is an indication for withholding the dose
b. Contact the provider to report digoxin toxicity.
c. Request an order for a decreased dose of digoxin.
d. Review the serum electrolyte values and withhold the dose if the
potassium level is greater than 3.5 mEq/L
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Increases in cardiovascular
which of the following would
causequestions
the nurse to assess for
NCLEX
decreased blood flow? (Select all that apply.)
cardiovascular NCLEX questions Flashcards | Quizlet
a. Blood viscosity
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c. Blood pressure
d. Blood vessel length
a. Blood viscosity
b. Blood vessel diameter
Resistance to flow is generally greater in longer tubes because resistance increases with length. Blood flow varies
c. Blood pressure
inversely with the viscosity of the fluid. Thick fluids move more slowly and experience greater resistance to flow
d. Blood vessel length
than thin fluids. Increased blood pressure decreases blood flow because resistance in increased.
Important mechanisms for maintaining venous return to the right atrium
a. Cardiac output
include (elect all that apply):
b. Atrioventricular (AV) valves
c. Skeletal muscle contraction
a. Cardiac output
d. Blood volume
b. Atrioventricular (AV) valves
c. Skeletal muscle contraction
Venous return is dependent on blood volume and flow through the venous system and the AV valves. Skeletal
d. Blood volume
muscle function assists the flow of blood toward the heart. This important mechanism of venous return is called
e. Vascular tone
the muscle pump. Vascular tone must be maintained to facilitate return.
A nurse is evaluating stroke volume. Which of the following factors
a. Preload
affect stroke volume? (Select all that apply.)
c. Afterload
e. Contractility
a. Preload
b. Peripheral vascular resistance
c. Afterload
d. Ejection fraction
e. Contractility
The nurse is monitoring a client who is taking digoxin (Lanoxin) for
b. Nausea and Vomiting
adverse effects. Which findings are characteristics of digoxin toxicity?
c. Blurred Vision
Select all that apply.
d. Diarrhea
a. Irritability
b. Nausea and Vomiting
c. Blurred Vision
d. Diarrhea
e. Tremors
The nurse in a medical unit is caring for a client with heart failure. The
a. Inserting a Foley catheter
client suddenly develops extreme dyspnea, tachycardia, and lung
d. Administering oxygen
crackles and the nurse suspects pulmonary edema. The nurse
e. Administering furosemide (Lasix)
immediately asks another nurse to contact the HCP and prepares to
f. Administering morphine sulfate intravenously
implement which PRIORITY interventions? Select all that apply.
Rationale: Pulmonary edema is a life-threatening event that can result from severe heart failure. In pulmonary
edema, the left ventricle fails to eject sufficient blood, and pressure increases in the lungs because of the
a. Inserting a Foley catheter
accumulated blood. Oxygen is always prescribed and the client is placed in high fowler's to ease the work of
b. Transporting the client to the coronary care unit
breathing. Furosemide, a rapidly acting diuretic, will eliminate accumulated fluid. A Foley catheter is inserted to
c. Placing the client in a low Fowler's side-lying position
measure output accurately. IV administration of morphine sulfate reduces venous return (preload), decreases
d. Administering oxygen
anxiety, and also reduces the work of breathing. Transporting the client to the coronary care unit is not a priority
e. Administering furosemide (Lasix)
intervention. In fact, this may not be necessary at all if the client's response to treatment is successful.
f. Administering morphine sulfate intravenously
Which client teaching should the nurse implement for the client
a. Refer to counselor for stress reduction techniques
diagnosed with CAD? Select all that apply.
c. Instruct client to walk 30 minutes a day
d. Encourage a low-fat, low-cholesterol diet
a. Refer to counselor for stress reduction techniques
b. Decrease the salt intake to 2g a day
Rationale: A low fat, low cholesterol diet will help decrease the buildup of atherosclerosis in the arteries. Walking
c. Instruct client to walk 30 minutes a day
will help increase collateral circulation. Stress reduction is encouraged for clients with CAD because this helps
d. Encourage a low-fat, low-cholesterol diet
prevent excess stress on the heart muscle. Increasing fiber in the diet will help remove cholesterol via the GI
e. Increase fiber in the diet
system.
The client with coronary artery disease asks the nurse, "Why do I get
a. "Chest pain is caused by decreased oxygen to the heart muscle."
chest pain?" Which statement would be the most appropriate response
by the nurse?"
a. "Chest pain is caused by decreased oxygen to the heart muscle."
b. "Chest pain occurs when the lungs cannot adequately oxygenate the
blood"
c. "The heart muscle is unable to pump effectively to perfuse the body"
d. "There is ischemia to the myocardium as a result of hypoxemia."
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The client diagnosed
with essential hypertension
asks the nurse, "Why
cardiovascular
NCLEX questions
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c. "There is no specific cause for hypertension, but there are many known risk factors."
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do I have high blood pressure?" Which response by the nurse would be
the most appropriate?
a. "More than likely you have had a diet high in salt, fat, and cholesterol."
b. "You probably have some type of kidney disease that causes the high
BP."
c. "There is no specific cause for hypertension, but there are many
known risk factors."
d. "You are concerned that you have high blood pressure. Let's sit down
and talk."
The client diagnosed with hypertension asks the nurse, "I don't know
b. "Damage can be occurring to your heart and kidneys even if you feel great."
why the doctor is worried about my blood pressure. I feel just great."
Which statement by the nurse would be the most appropriate
response?
a. "When is the last time you saw your doctor? Does he know you are
feeling great?"
b. "Damage can be occurring to your heart and kidneys even if you feel
great."
c. "Unless you have a headache your blood pressure is probably within
normal limits"
d. "Your blood pressure reflects how well your heart is working."
The client is admitted to the telemetry unit diagnosed with acute
a. Apical pulse rate of 110 and 4+ pitting edema of feet
exacerbation of congestive heart failure. Which signs/symptoms would
the nurse expect to find when assessing this client?
a. Apical pulse rate of 110 and 4+ pitting edema of feet
b. Radial pulse of 90 and capillary refill time <3 seconds
c. Thick white sputum and crackles that clear with cough
d. The client sleeping with no pillows and eupnea.
The nurse is assessing the client diagnosed with congestive heart failure.
a. The client is able to perform activities of daily living without dyspnea
Which signs/symptoms would indicate that the medical treatment has
been effective?
a. The client is able to perform activities of daily living without dyspnea
b. The client's peripheral pitting edema has gone from 3+ to 4+
c. The client has minimal jugular vein distention
d. The client is able to take the radial pulse accurately
The nurse provides home care instructions to the parents of a child with
b. "If my child vomits after medication administration, I will repeat the dose."
heart failure regarding the procedure for administration of digoxin
(Lanoxin). Which statement by the parent indicates the need for further
instruction?
a. "If more than one dose is missed, I will call the HCP."
b. "If my child vomits after medication administration, I will repeat the
dose."
c. "I will not mix the medication with food."
d. "I will take my child's pulse before administering the medication."
The nurse is preparing to administer a beta blocker to the client
d. The client had an apical pulse of 56
diagnosed with CAD. Which assessment data would cause the nurse to
question administering the medication?
a. The client's potassium level is 4.5 mEq/L
b. The client is complaining of a headache
c. The client has a BP of 110/70
d. The client had an apical pulse of 56
Which intervention should the nurse implement when administering a
b. Assess the client's serum potassium level
loop diuretic to a client diagnosed with CAD?
a. Assess the client's radial pulse
b. Assess the client's serum potassium level
c. Assess the client's pulse oximeter reading
d. Assess the client's glucometer reading
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The HCP prescribes
an ACE inhibitorNCLEX
for the client
diagnosed with
cardiovascular
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c. ACE inhibitors prevent vasoconstriction and sodium and water retention
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essential hypertension. Which statement is the most appropriate
rationale for administering this medication?
a. ACE inhibitors decrease blood pressure by relaxing vascular smooth
muscle
b. ACE inhibitors prevent the beta-receptor stimulation in the heart
c. ACE inhibitors prevent vasoconstriction and sodium and water
retention
d. This medication blocks the alpha receptors in the vascular smooth
muscle
The client diagnosed with essential hypertension is taking a loop
d. The client has a weight gain of 2 kg within 1-2 days
diuretic daily. Which assessment data would require immediate
intervention by the nurse?
a. The client's serum potassium level is 4.5 mEq/L
b. The client's BP is 148/92
c. The telemetry reads normal sinus rhythm
d. The client has a weight gain of 2 kg within 1-2 days
The nurse is monitoring a client who is taking propranolol (Inderal LA).
b. The development of audible expiratory wheezes
Which assessment data indicates a potential serious complication
associated with this medication?
a. A baseline resting heart rate of 88 beats/minute followed by a resting
heart rate of 72 beats/minute after two doses of the medication
b. The development of audible expiratory wheezes
c. The development of complaints of insomnia
d. A baseline blood pressure of 150/80 mm Hg followed by a blood
pressure of 138/72 mm Hg after two doses of the medication
The nurse is planning to administer hydrochlorothiazide to a client. The
a. Hypokalemia, hyperglycemia, sulfa allergy
nurse understands that which is a concern related to the administration
of this medication?
a. Hypokalemia, hyperglycemia, sulfa allergy
b. Hyperkalemia, hypoglycemia, penicillin allergy
c. Increased risk of osteoporosis
d. Hypouricemia, hyperkalemia
Prior to administering a client's daily dose of digoxin, the nurse reviews
a. Serum magnesium level
the client's laboratory data and notes the following results: serum
calcium, 9.8 mg/dL; serum magnesium , 1.2 mg/dL; serum potassium, 4.1
mEq/L; serum creatinine, 0.9 mg/dL. Which result should alert the nurse
that the client is at risk for digoxin toxicity?
a. Serum magnesium level
b. Serum creatinine level
c. Serum potassium level
d. Serum calcium level
The nurse is monitoring an infant with congenital heart disease closely
d. Tachycardia
for signs of heart failure. The nurse should assess the infant for which
EARLY signs of heart failure?
a. Slow and shallow breathing
b. Cough
c. Pallor
d. Tachycardia
The elderly client has coronary artery disease. Which question should
c. "Are you sexually active?"
the nurse ask the client during the client teaching?
Rationale: Sexual activity is a risk factor for angina resulting from CAD. The client's being elderly should not affect
a. "Do you get a yearly x-ray?"
the nurse's assessment of the client's concerns about sexual activity.
b. "Do you have a daily bowel movement?"
c. "Are you sexually active?"
d. "Have you had any weight change?"
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The 66-year-old
male client has his BP
checked questions
at a health fair. His BP is
cardiovascular
NCLEX
cardiovascular NCLEX questions Flashcards | Quizlet
d. Instruct the client to see his HCP as soon as possible
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168/98. Which action should the nurse implement first?
a. Recommend that the client have his blood pressure checked in 1
month.
b. Explain that this BP is within the normal range for an elderly person
c. Discuss the importance of eating a low salt, low fat, low cholesterol
diet
d. Instruct the client to see his HCP as soon as possible
The nurse is teaching the client recently diagnosed with essential
d. Walk at least 30 minutes a day on flat surfaces.
hypertension. Which instruction should the nurse provide when
discussing exercise?
a. Perform light weight lifting 3 times a week.
b. Encourage the client to swim laps once a week.
c. Recommend high-level aerobics daily.
d. Walk at least 30 minutes a day on flat surfaces.
The nurse is administering a beta-blocker to the client diagnosed with
d. Question administering the medication if the BP is <90/60 mmHg
essential hypertension. Which intervention should the nurse implement?
a. Notify the HCP if the potassium level is 3.8 mEq/L
b. Do not administer the medication if the client's radial pulse is >100
c. Monitor the client's blood pressure while he or she is lying, standing,
and sitting
d. Question administering the medication if the BP is <90/60 mmHg
The male client diagnosed with essential hypertension has been
d. Change position slowly when going from lying to sitting position
prescribed an alpha-adrenergic blocker. Which intervention should the
nurse discuss with the client?
a. Explain that impotence is an expected side effect of the medication
b. Eat at least one banana a day to help increase the potassium level
c. Take the medication on an empty stomach to increase absorption
d. Change position slowly when going from lying to sitting position
The nurse just received the AM shift report. Which client should the
a. Client diagnosed with DVT who is complaining of chest pain.
nurse assess first?
a. Client diagnosed with DVT who is complaining of chest pain.
b. Client diagnosed with CAD who has a BP of 170/100
c. Client diagnosed with pneumonia who has a pulse oximeter reading
of 98%
d. Client diagnosed with Ulcerative colitis who has non-bloody diarrhea.
The nurse is teaching the Dietary Approaches to Stop Hypertension
a. "I should eat at least 4-5 servings of vegetables a day."
(DASH) diet to a client diagnosed with hypertension. Which statement
indicates that the client understands the client teaching concerning the
DASH diet?
a. "I should eat at least 4-5 servings of vegetables a day."
b. "I should drink no more than two glasses of whole milk a day"
c. "I should decrease my grain intake to no more than twice a week."
d. "I should eat meat that has a lot of white streaks in it."
The nurse is teaching a class on arterial essential hypertension. Which
d. Discuss sedentary lifestyle and smoking cessation
modifiable risk factors would the nurse include when preparing this
presentation?
a. Include discussions on family history and gender
b. Provide information on low fiber and high salt diet
c. Include information on retinopathy and nephropathy
d. Discuss sedentary lifestyle and smoking cessation
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The HCP hascardiovascular
provided an ACE inhibitor
for the client
diagnosed with
NCLEX
questions
cardiovascular NCLEX questions Flashcards | Quizlet
b. Teach the client how to prevent orthostatic hypotension
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CHF. Which discharge instructions should the nurse include?
a. Explain the importance of taking medication with food
b. Teach the client how to prevent orthostatic hypotension
c. Encourage the client to eat bananas to increase potassium level
d. Instruct the client to take a cough suppressant if a cough develops
After noting a pulse deficit when assessing a patient who has just
a. electrocardiographic (ECG) monitoring.
arrived in the emergency department, the nurse will anticipate that the
patient may require
a. electrocardiographic (ECG) monitoring.
b. 2-D echocardiogram.
c. cardiac catheterization.
d. hourly blood pressure (BP) checks
When reviewing the 12-lead electrocardiograph (ECG) for a healthy 86-
d. The heart rate (HR) is 43 beats/minute.
year-old patient who is having an annual physical examination, which of
the following will be of most concern to the nurse?
a. The PR interval is 0.21 seconds.
b. The QRS duration is 0.13 seconds.
c. There is a right bundle-branch block.
d. The heart rate (HR) is 43 beats/minute.
During a physical examination of a patient, the nurse palpates the point
c. assess the patient for symptoms of left ventricular hypertrophy.
of maximal impulse (PMI) in the sixth intercostal space lateral to the left
midclavicular line. The most appropriate action for the nurse to take next
will be to
a. auscultate both the carotid arteries for the presence of a bruit.
b. document that the PMI is in the normal anatomic location.
c. assess the patient for symptoms of left ventricular hypertrophy.
d. ask the patient about risk factors for coronary artery disease.
To auscultate for S3 or S4 gallops in the mitral area, the nurse listens
d. bell of the stethoscope with the patient in the left lateral position.
with the
The bell of the stethoscope is more sensitive to low-pitched sounds (e.g. heart murmurs, abnormal heart sounds
a. bell of the stethoscope with the patient sitting and leaning forward.
such as S3 and S4). The diaphragm of the stethoscope is more sensitive to high-pitched sounds (e.g. S1 and S2
b. diaphragm of the stethoscope with the patient in a reclining position.
and bowel sounds)
c. diaphragm of the stethoscope with the patient lying flat on the left
side.
d. bell of the stethoscope with the patient in the left lateral position.
To determine the effects of therapy for a patient who is being treated
b. B-type natriuretic peptide (BNP)
for heart failure, which laboratory result will the nurse plan to review?
a. Homocysteine (Hcy)
b. B-type natriuretic peptide (BNP)
c. Myoglobin
d. Low-density lipoprotein (LDL)
While doing the admission assessment for a thin 72-year-old patient, the
d. Document the finding in the patient chart.
nurse observes pulsation of the abdominal aorta in the epigastric area.
Which action should the nurse take?
a. Instruct the patient to remain on bed rest.
b. Notify the hospital rapid response team.
c. Teach the patient about aortic aneurysms.
d. Document the finding in the patient chart.
A patient is scheduled for a cardiac catheterization with coronary
a. a warm feeling may be noted when the contrast dye is injected.
angiography. Before the test, the nurse informs the patient that
a. a warm feeling may be noted when the contrast dye is injected.
b. it will be important to lie completely still during the procedure.
c. electrocardiographic (ECG) monitoring will be required for 24 hours
after the test.
d. monitored anesthesia care will be provided during the procedure.
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While assessing
a patient who was admitted
withquestions
heart failure, the nurse
cardiovascular
NCLEX
cardiovascular NCLEX questions Flashcards | Quizlet
a. Observe for JVD with the head at 30 degrees.
Study
notes that the patient has jugular venous distention (JVD) when lying flat
in bed. Which action should the nurse take next?
a. Observe for JVD with the head at 30 degrees.
b. Use a ruler to measure the level of the JVD.
c. Have the patient perform the Valsalva maneuver.
d. Document this finding in the patient's record.
The nurse teaches the patient being evaluated for rhythm disturbances
b. keep a diary of daily activities while the monitor is worn.
with a Holter monitor to
a. connect the recorder to a telephone transmitter once daily.
b. keep a diary of daily activities while the monitor is worn.
c. remove the electrodes when taking a shower or tub bath.
d. exercise more than usual while the monitor is in place.
When auscultating over the patient's abdominal aorta, the nurse hears a
b. bruit.
humming sound. The nurse documents this finding as a
a. heave.
b. bruit.
c. thrill.
d. murmur.
The nurse has received the laboratory results for a patient who
a. troponins T and I.
developed chest pain 4 hours ago and may be having a myocardial
infarction. The most important laboratory result to review will be
a. troponins T and I.
b. LDL cholesterol.
c. C-reactive protein.
d. creatine kinase-MB (CK-MB).
When assessing a newly admitted patient, the nurse notes a thrill along
d. Auscultate for any cardiac murmurs.
the left sternal border. To obtain more information about the cause of
the thrill, which action will the nurse take next?
a. Find the point of maximal impulse.
b. Compare the apical and radial pulse rates.
c. Palpate the quality of the peripheral pulses.
d. Auscultate for any cardiac murmurs.
The nurse hears a murmur between the S1 and S2 heart sounds at the
d. "Systolic murmur heard at mitral area."
patient's left 5th intercostal space and midclavicular line. How will the
nurse record this information?
a. "Diastolic murmur heard at tricuspid area."
b. "Systolic murmur heard at Erb's point."
c. "Diastolic murmur heard at aortic area."
d. "Systolic murmur heard at mitral area."
The RN is observing a student nurse who is doing a physical assessment
c. palpates both carotid arteries simultaneously to compare pulse quality.
on a patient. The RN will need to intervene immediately if the student
nurse
a. places the patient in the left lateral position to check for the point of
maximal impulse (PMI).
b. presses on the skin over the tibia for 10 seconds to check for edema.
c. palpates both carotid arteries simultaneously to compare pulse
quality.
d. documents a murmur heard along the left sternal border as an aortic
murmur.
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Which information
obtained by the nurse
who isquestions
admitting the patient
cardiovascular
NCLEX
cardiovascular NCLEX questions Flashcards | Quizlet
a. The patient has a permanent ventricular pacemaker in place.
Study
for magnetic resonance imaging (MRI) will be most important to report
to the health care provider before the MRI?
a. The patient has a permanent ventricular pacemaker in place.
b. The patient has an allergy to shellfish and iodine.
c. The patient has a history of coronary artery disease.
d. The patient took all the prescribed cardiac medications today
When the nurse is monitoring a patient who is undergoing exercise
c. Electrocardiographic (ECG) changes indicating coronary ischemia.
(stress) testing on a treadmill, which assessment finding requires the
most rapid action by the nurse?
a. BP increase from 134/68 to 150/80 mm Hg.
b. Pulse change from 80 to 96 beats/minute.
c. Electrocardiographic (ECG) changes indicating coronary ischemia.
d. Patient complaint of feeling tired.
The standard policy on the cardiac unit states, "Notify the health care
d. the postoperative patient with a BP of 116/42.
provider for mean arterial pressure (MAP) less than 70 mm Hg." The
nurse will need to call the health care provider about
a. the patient with left ventricular failure who has a BP of 110/70.
b. the newly admitted patient with a BP of 122/60.
c. the patient with a myocardial infarction who has a BP of 114/50.
d. the postoperative patient with a BP of 116/42.
When admitting a patient for a coronary arteriogram and angiogram,
a. The patient is allergic to shellfish.
which information about the patient is most important for the nurse to
communicate to the health care provider?
a. The patient is allergic to shellfish.
b. The patient had an arteriogram a year ago.
c. The patient's pedal pulses are +1.
d. The patient has not eaten anything today.
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