Cardiac NCLEX Practice Questions

Cardiac NCLEX Practice Questions

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575 terms purulent_drainage Preview 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview cardiov 84 terms Kris The nurse is preparing to teach the pt newly diagnosed with angina pectoris how to self-administer nitroglycerine (NTG) tablets. What pt teaching should the nurse emphasize? select all that apply

• stop all activities immediately and sit down if chest

pain occurs

• if the pain is unrelieved after three NTG tablets,

continue to rest and call the prescriber right away

• After discharge, keep NTG tablets on your bedside

table day and night

• immediately after chest pain begins, notify your

personal prescriber

• the NTG tablet should tingle when placed under the

tongue A,B,E the pt states, "I always put my nitroglycerine patch in the same place so I do not forget to take it off." Which of the following is the best response by the nurse?

• change the patch every 24 hours
• massage into the skin if ointment comes in contact with

your hands

• rotate the NTG patch to a different hairless area each

day

• after removing the patch, scrub the are vigorously with

soap and water C

A healthcare provider orders NTG to be administered by IV drip. The nurse carrying out the order would monitor for which of the following as a priority specific to medication?

• shortness of breath when raising head of bed
• urine output
• blood pressure and heart rate
• facial flushing and headache

C Before a pt receives metoprolol (Lopressor) for hypertension, the nurse should ask the pt about a history of which of the following?

• bronchospasms
• seizures
• peripheral vascular disease
• myasthenia gravis

A The nurse provides discharge instructions to a pt about the use of amiodarone. Which of the following statements indicates that the pt has the knowledge necessary to safely administer the drug?

• as soon as the physician says I can stop taking this

medication, I will be able to enjoy the sun again

• the side effects of this med may not begin to show up

for several weeks or even months after I start taking it

• If my pulse drops below 100 beats/minute, I should call

the physician right away

• If I miss a dose of me, I should take it as soon as I

remember it B The nurse is scheduled to administer a dose of digoxin to and adult pt with atrial fibrillation. The pt has a potassium level of 4.3 mEq/L. The nurse should perform which of the following activities next?

• withhold dose only for that day
• obtain order for dose of potassium before giving

digoxin

• withhold dose and notify prescriber
• administer dose as ordered

D A pt is taking digoxin and furosemide (Lasix) to manage congestive heart failure. The nurse determiens that the pt understands diet therapy when the pt makes which meal choice?

• veggie beef soup, mac and cheese, and a roll
• beef ravioli w/ bread
• baked white fish, mashed potatoes, and carrot salad
• roasted chicken, brown rice, and stewed tomatoes

C

After a healthcare provider prescribed propranolol for a pt with frequent premature ventricular contractions, the nurse should include with of the following in the care plan?

• inform pt that excessive respiratory response to

activity should gradually decrease

• measure heart rate daily before taking dose
• Pt will have increased resistance to infection
• current skin eruptions will improve within 30 days

B A pt with atrial fibrillation is receiving continuous heparin infusion at 1000 units/hr. The nurse would determine that the pt is receiving the therapeutic effect based on which of the following results?

• prothrombin time of 12.5 seconds
• apt time of 60 seconds
• apt time of 28 seconds
• apt time longer than 120 sec

B A nurse provides discharge instructions to a post op pt who is taking warfarin sodium (Coumadin). Which statement, if made by the pt, reflects the need for further teaching?

• I will take my pills every day at the same time
• I will be certain to limit my alcohol consumption
• I have already called my family to pick up my Medic-

Alert bracelet

• I will take enteric-coated Aspirin for my headaches

D A nurse is caring for a pt receiving heparin IV. The nurse anticipates that which lab study will be prescribed to monitor the therapeutic effect of heparin?

• hematocrit
• hemoglobin
• prothrombin time
• activated partial thromboplastin time

D A pt is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator, alteplase (Activase). Which of the following is a priority nursing intervention?

• monitor for renal failure
• monitor for psychosocial status
• monitor for signs of bleeding
• have heparin sodium available

C A home health nurse instructs a pt about the use of a nitrate patch. The nurse tells the pt that which of the following will prevent pt tolerance to nitrates?

• do not remove the patches
• have a 12-hr no-nitrate time
• have a 24-hr no-nitrate time
• keep nitrates on 48 hrs, then off 24 hrs

B

a pt is receiving thrombolytic therapy with a continuous infusion of streptokinase. The pt suddenly becomes extremely anxious with complaints of itching. A nurse hears stridor and on examination of the pt notes generalized urticarial and hypotension. Which of the following should be the priority action?

• administer oxygen and protamine sulfate
• stop the infusion and call the physician
• cut the infusion rate in half and sit the pt up in bed
• administer benadryl and continue the infusion slowly

B Which of the following pts is at greatest risk for digital toxicity?

• a 25 y/o pt with congestive heart disease
• a 50 y/o pt with CHF
• a 60 y/o pt who had an MI
• an 80 y/o pt with CHF

D Which of the following is a contraindication for digoxin administration?

• BP of 140/90
• HR>80
• HR<60
• RR>18

C

The action of medication is inotropic when it:

• decreases afterload
• increases heart rate
• increases the force of contraction
• is uses to treat CHF

C' Which is the most important action for the nurse to take before administering digoxin?

• monitor the potassium level
• assess the BP
• evaluate urinary output
• avoid giving with a thiazide diuretic

A

The therapeutic drug level for digoxin is:

A. 0.1-2.0

B. 1.0-2.0

C. 0.1-0.5

D. 0.5-2.0

D

Blurred vision or halos are signs of:

• beta blocker toxicity
• digoxin toxicity
• diuretic toxicity
• ACE inhibitor toxicity

B