CARDIAC NCLEX EXAM NCLEX CARDIAC EXAM 2023-2024

CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM 2023-2024

300 QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES ( ANSWERS)

A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute myocardial infarction (AMI). Which laboratory test should the nurse monitor to help determine whether the patient has had an AMI?

• Myoglobin
• Homocysteine
• C-reactive protein
• Cardiac-specific troponin - ANSWER- D

Diltiazem (Cardizem) is ordered for a patient with newly diagnosed Prinzmetals (variant) angina. When teaching the patient, the nurse will include the information that diltiazem will

• reduce heart palpitations.
• decrease spasm of the coronary arteries.
• increase the force of the heart contractions.
• help prevent plaque from forming in the coronary

arteries. - ANSWER- B 1 / 4

The nurse will suspect that the patient with stable angina is experiencing a side effect of the prescribed metoprolol (Lopressor) if the

• patient is restless and agitated.
• blood pressure is 90/54 mm Hg.
• patient complains about feeling anxious.
• cardiac monitor shows a heart rate of 61 beats/minute - ANSWER- B

Nadolol (Corgard) is prescribed for a patient with chronic stable angina and left ventricular dysfunction. To determine whether the drug is effective, the nurse will monitor for

• decreased blood pressure and heart rate.
• fewer complaints of having cold hands and feet.
• improvement in the strength of the distal pulses.
• the ability to do daily activities without chest pain - ANSWER- D

Heparin is ordered for a patient with a nonST- segment-elevation myocardial infarction (NSTEMI). What is the purpose of the heparin?

• Heparin enhances platelet aggregation.
• Heparin decreases coronary artery plaque size. 2 / 4

• Heparin prevents the development of new clots in the

coronary arteries.

• Heparin dissolves clots that are blocking blood flow in

the coronary arteries. - ANSWER- C

When titrating IV nitroglycerin (Tridil) for a patient with a myocardial infarction (MI), which action will the nurse take to evaluate the effectiveness of the medication?

• Monitor heart rate.
• Ask about chest pain.
• Check blood pressure.
• Observe for dysrhythmias. - ANSWER- B

A patient with ST-segment elevation in three contiguous electrocardiographic (ECG) leads is admitted to the emergency department (ED) and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI). Which question should the nurse ask to determine whether the patient is a candidate for thrombolytic therapy?

• Do you have any allergies?
• Do you take aspirin on a daily basis? 3 / 4

• What time did your chest pain begin?
• Can you rate your chest pain using a 0 to 10 scale? - ANSWER- C

Following an acute myocardial infarction (AMI), a patient ambulates in the hospital hallway. When the nurse is evaluating the patients response to the activity, which assessment data would indicate that the exercise level should be decreased?

• Blood pressure (BP) changes from 118/60 to 126/68

mm Hg.

• Oxygen saturation drops from 99% to 95%.
• Heart rate increases from 66 to 92 beats/minute.
• Respiratory rate goes from 14 to 20 breaths/minute. - ANSWER- C

During the administration of the thrombolytic agent to a patient with an acute myocardial infarction (AMI), the nurse should stop the drug infusion if the patient experiences

• bleeding from the gums.
• increase in blood pressure.
• a decrease in level of consciousness.
• a nonsustained episode of ventricular tachycardia. - ANSWER- C
• / 4