Cardiovascular NCLEX-PN 6th Edition Exam With Questions

Cardiovascular NCLEX-PN 6th Edition Exam With Questions And Answers

The nurse is providing discharge teaching for a post-myocardial infarction (MI) client who will be taking 1 baby aspirin a day. The nurse determines that the client understands the use of this medication if the client makes which statement? - Answer"I will take this medication every day." A client with heart failure is scheduled to be discharged to home with digoxin (Lanoxin) and furosemide (Lasix) as ongoing prescribed medications. The nurse teaches the client to report which sign/symptom that indicates the medications are not producing the intended effect? - AnswerWeight gain 2 to 3 pounds in a few days The nurse is reinforcing instructions to a client with angina pectoris about measures to reduce recurrence of chest pain. The nurse should stress to the client the importance of taking which measure? - AnswerAvoiding exposure to either very hot or very cold The nurse in a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea, tachycardia, and lung crackles, and the nurse suspects pulmonary edema. The nurse immediately notifies the registered nurse and expects which interventions to be prescribed? Select all that apply. - AnswerAdministering oxygen Inserting a Foley catheter Administering furomeside (Lasix) Administering morphine sulfate intravenously The nurse has reinforced instructions to the family of an older client who seems anxious about being discharged after cardiac surgery. The nurse understands further teaching is needed if a family member makes which statement? - Answer"A daily half-mile-long brisk walk generally helps people bounce back more quickly and provides more of a sense of control." The nurse has reinforced dietary instructions to a client with coronary artery disease.Which statement by the client indicates an understanding of the dietary instructions? - Answer"I should routinely use polyunsaturated oils in my diet." The nurse is planning a dietary menu for a client with heart failure being treated with digoxin (Lanoxin) and furosemide (Lasix). Which would be the best dinner choice from the daily menu? - AnswerBaked pollock, mashed potatoes, and carrot-raisin salad A hospitalized client with a history of angina pectoris is ambulating in the corridor. The

client suddenly complains of severe substernal chest pain. The nurse should take which action first? - AnswerAssist the client to sit or lie down The nurse is monitoring a client with an abdominal aortic aneurysm (AAA). Which finding is probably unrelated to the AAA? - AnswerHyperactive bowel sounds in the area The nurse has completed counseling about smoking cessation with a client with coronary artery disease (CAD). The nurse determines that the client has understood the material best if the client makes which statement? - Answer"A smoker has twice the risk of having a heart attack as a nonsmoker." A client is scheduled for a cardiac catheterization using a radiopaque dye. The nurse checks which most critical item before the procedure? - AnswerPrior reaction to contrast media The nurse is preparing for a health fair about tobacco use and the development of coronary heart disease. Which information should the nurse include? Select all that apply. - AnswerNicotine decreases oxygen to the heart Hypnosis may be helpful to stop smoking Avoid exposure to environmental tobacco smoke The nurse reinforces instructions to a client at risk for thrombophlebitis regarding measures to minimize its occurrence. Which statement by the client indicates an understanding of this information? - Answer"I should avoid sitting in one position for long periods of time." The licensed practical nurse (LPN) is assisting in caring for a client with a diagnosis of myocardial infarction (MI). The client is experiencing chest pain that is unrelieved by the administration of nitroglycerin. The registered nurse administers morphine sulfate to the client as prescribed by the health care provider. Following administration of the morphine sulfate, the LPN plans to monitor which indicator(s)? - AnswerRespirations and blood pressure The nurse is collecting data on a client with a diagnosis of right-sided heart failure. The nurse should expect to note which specific characteristic of this condition? - AnswerDependent edema A client has experienced an episode of pulmonary edema. The nurse determines that the client's respiratory status is improving if which breath sounds are noted? - AnswerCrackles in the lung bases The nurse is setting up the bedside unit for a client being admitted to the nursing unit from the emergency department with a diagnosis of coronary artery disease (CAD). The nurse should place highest priority on making sure that which is available at the bedside? - AnswerOxygen tubing and flowmeter The nurse is assisting in the care of a client with myocardial infarction who should

reduce intake of saturated fat and cholesterol. The nurse should help the client comply with diet therapy by selecting which food items from the dietary menu? - AnswerBaked haddock, steamed broccoli, herbed rice, sliced strawberries The nurse determines that a client with coronary artery disease (CAD) understands disease management if the client makes which statement? - Answer"I will walk for one-half hour daily." The health care provider is discharging a client with a diagnosis of primary hypertension.Which health maintenance instructions should the nurse reinforce in the discharge teaching plan? Select all that apply. - AnswerMonitor the blood pressure at home Restrict sodium intake as prescribed Eye examinations with an ophthalmoscope should be routine Follow-up appointments for blood pressure checks are important The nurse is assisting in developing a plan of care for a client who will be returning to the nursing unit following a cardiac catheterization via the femoral approach. Which nursing intervention should be included in the postprocedure plan of care? - AnswerEncourage the client to increase fluid intake While the nurse is involved in preparing a client for a cardiac catheterization, the client says, "I don't want to talk with you. You're only the nurse. I want my doctor." Which response by the nurse should be therapeutic? - Answer"So you're saying that you want to talk to your health care provider?" A client is admitted with an arterial ischemic leg ulcer. The nurse expects to note that this ulcer has which typical characteristic? - AnswerDeep and painful The nurse finds a client tensing while lying in bed staring at the cardiac monitor. Which is the nurse's best response when the client states, "There sure are a lot of wires around there. I sure hope we don't get hit by lightning!"? - Answer"Yes, this equipment is a little scary. Can we talk about how cardiac monitor works?" The nurse is caring for a client with left-sided heart failure. Which clinical signs are most important for the nurse to communicate to the health care provider? Select all that apply.

• AnswerPink-tinged frothy sputum

Increase in respiratory rate Auscultation of crackles throughout the lungs The nurse is preparing to care for a client who will be arriving from the recovery room after an above-the-knee amputation. The nurse ensures that which priority item is available for emergency use? - AnswerSurgical tourniquet The nurse is discussing smoking cessation with a client diagnosed with coronary artery disease (CAD). Which statement should the nurse make to the client to try to motivate the

client to quit smoking? - Answer"If you quit now, your risk of cardiovascular disease will decrease to that of a nonsmoker in 3 to 4 years." A client who experienced a myocardial infarction (MI) tells the nurse that he is fearful about not being able to return to a normal life. Which action by the nurse is therapeutic at this time? - AnswerExplore the specific concerns with the client.A client complaining of chest pain has an as-needed (PRN) prescription for sublingual nitroglycerin (Nitrostat). Before administering the medication to the client, the nurse should first check which? - AnswerBlood pressure The nurse is caring for a client who is developing pulmonary edema. The client exhibits respiratory distress, but the blood pressure is unchanged from the client's baseline. As an immediate action before help arrives, the nurse should perform which action? - AnswerPlace the client in high-Fowler's position A 24-year-old man seeks medical attention for complaints of claudication in the arch of the foot. The nurse also notes superficial thrombophlebitis of the lower leg. The nurse should check the client for which next? - AnswerSmoking history A client in a long-term care facility who has a history of angina pectoris wants to go for a short walk outside with a family member. It is a sunny but chilly December day. The nurse should perform which intervention to care for this client in a holistic manner? - AnswerInstruct the family member to dress the client warmly before going outside.A client who has undergone femoropopliteal bypass grafting says to the nurse, "I hope I don't have any more problems that could make me lose my leg. I'm so afraid that I'll have gone through this for nothing." Which is an appropriate nursing response? - Answer"You are concerned about losing your leg?" The nurse is collecting data on a client with a diagnosis of angina pectoris who takes nitroglycerin for chest pain. During the admission, the client reports chest pain. The nurse immediately asks the client which question? - Answer"Where is the pain located?" A client has just returned from the cardiac catheterization laboratory. The left femoral vessel was used as the access site. After returning the client to bed, the nurse places a sign above the bed stating that the client should remain on bed rest and in which position? - AnswerWith the head of the bed elevated no more than 15 degrees A client is admitted to the hospital with possible rheumatic endocarditis. The nurse should check for a history of which type of infection? - AnswerStreptococcal infection

The nurse is working with a client who has been diagnosed with Prinzmetal's (variant) angina. The nurse plans to reinforce which information about this type of angina when teaching the client? - AnswerPrinzmetal's angina is generally treated with calcium channel blocking agents.