CARDIAC NCLEX QUESTIONS

CARDIAC NCLEX QUESTIONS

1) A client is scheduled for a cardiac catherization using a radiopaque dye. Which of the following assessments is most critical before the procedure?

1.Intake and output 2.Baseline peripheral pulse rates 3.Height and weight 4.Allergy to iodine or shellfish - Ans 4. Allergy to iodine or shellfish

This procedure requires an informed consent because it involves injection of a radiopaque dye into the blood vessel. The risk of allergic reaction and possible anaphylaxis is serious and must be assessed before the procedure.

2) A client with no history of cardiovascular disease comes into the ambulatory clinic with flulike symptoms. The client suddenly complains of chest pain. Which of the following questions would best help a nurse to discriminate pain caused by a non- cardiac problem?

1."Have you ever had this pain before?" 2."Can you describe the pain to me?" 3."Does the pain get worse when you breathe in?" 4."Can you rate the pain on a scale of 1-10, with 10 being the worst?" - Ans 3."Does the pain get worse when you breathe in?"

Chest pain is assessed by using the standard pain assessment parameters. Options 1, 2, and 4 may or may not help discriminate the origin of pain. Pain of pleuropulmonary origin usually worsens on inspiration.

3) A client with myocardial infarction has been transferred from a coronary care unit to a general medical unit with cardiac monitoring via telemetry. A nurse plans to allow for which of the following client activities?

1.Strict bed rest for 24 hours after transfer 2.Bathroom privileges and self-care activities 3.Unsupervised hallway ambulation with distances under 200 feet 4.Ad lib activities because the client is monitored. - Ans 2. Bathroom privileges and self- care activities

On transfer from the CCU, the client is allowed self-care activities and bathroom privileges. Supervised ambulation for brief distances are encouraged, with distances gradually increased (50, 100, 200 feet).

A nurse notes 2+ bilateral edema in the lower extremities of a client with myocardial infarction who was admitted 2 days ago. The nurse would plan to do which of the following next?

1.Review the intake and output records for the last 2 days 2.Change the time of diuretic administration from morning to evening 1 / 2

3.Request a sodium restriction of 1 g/day from the physician.

4.Order daily weights starting the following morning. - Ans 1.Review the intake and output records for the last 2 days

Edema, the accumulation of excess fluid in the interstitial spaces, can be measured by intake greater than output and by a sudden increase in weight. Diuretics should be given in the morning whenever possible to avoid nocturia. Strict sodium restrictions are reserved for clients with severe symptoms.

A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no electrocardiogram complexes on the screen. The first action of the nurse

is to:

1.Check the client status and lead placement 2.Press the recorder button on the electrocardiogram console.

3.Call the physician 4.Call a code blue - Ans 1. Check the client status and lead placement

Sudden loss of electrocardiogram complexes indicates ventricular asystole or possible electrode displacement. Accurate assessment of the client and equipment is necessary to determine the cause and identify the appropriate intervention.

6) A nurse is assessing the blood pressure of a client diagnosed with primary hypertension. The nurse ensures accurate measurement by avoiding which of the following?

1.Seating the client with arm bared, supported, and at heart level.

2.Measuring the blood pressure after the client has been seated quietly for 5 minutes.

3.Using a cuff with a rubber bladder that encircles at least 80% of the limb.

4.Taking a blood pressure within 15 minutes after nicotine or caffeine ingestion. - Ans 4.Taking a blood pressure within 15 minutes after nicotine or caffeine ingestion

BP should be taken with the client seated with the arm bared, positioned with support and at heart level. The client should sit with the legs on the floor, feet uncrossed, and not speak during the recording. The client should not have smoked tobacco or taken in caffeine in the 30 minutes preceding the measurement. The client should rest quietly for

• minutes before the reading is taken. The cuff bladder should encircle at least 80% of

the limb being measured. Gauges other than a mercury sphygmomanometer should be calibrated every 6 months to ensure accuracy

7) IV heparin therapy is ordered for a client. While implementing this order, a nurse ensures that which of the following medications is available on the nursing unit?

1.Vitamin K 2.Aminocaporic acid 3.Potassium chloride 4.Protamine sulfate - Ans 4. Protamine sulfate

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