Cardiovascular NCLEX Questions

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CARDIAC NCLEX QUESTIONS

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• taking daily weight measurementsThe home care nurse is teaching the patient how to best monitor his edema. What

is the best method for a patient at home to monitor his peripheral edema?

• Checking for pitting
• Measuring the extremity
• Measuring intake and output
• Taking daily weight measurements
• Assessing the patient's peripheral pulsesWhen a patient returns to the unit after a cardiac catheterization, which nursing

intervention should immediately follow taking vital signs?

• Providing the patient with fluids
• Assessing the patient's peripheral pulses C.Placing the patient in a warm bed

and encouraging sleep

• Reapplying the patient's dressing where the catheter was inserted
• Assess the patient's apical pulse rate and rhythm,

noting the presence of pulse deficit.When performing a cardiovascular assessment, which action should the LPN/LVN take?

• Check the patient's urine for acetone.
• Obtain a sputum specimen from the patient.
• Find out whether the patient is the youngest in the family.
• Assess the patient's apical pulse rate and rhythm, noting the presence of pulse

deficit.

• Assess for allergies to radiopaque dyeThe nurse is caring for a patient following an angiogram. Which action should the

nurse include in the patient's care?

• Encourage restriction of fluid intake
• Assess for allergies to radiopaque dye
• Have the patient refrain from coughing
• Instruct the patient about ways to combat constipation

• The patient has diabetes mellitus.The nurse is providing education to a patient in the clinic for his annual

examination on cardiovascular health. Which of these factors, if present in the patient's history, are most closely related to the development of arteriosclerosis?

• The patient is an accountant.
• The patient has diabetes mellitus.
• The patient is to receive chemotherapy.
• The patient had rheumatic fever as a child.
• ExerciseThe nurse is assessing a patient who states he has been diagnosed with

intermittent claudication. The nurse anticipates that the patient's cramping pain will be brought on by what activity or position?

• Exercise
• Standing in one place

C.Having an extremity in dependent position

• Having an extremity above the level of the heart
• Instruct the patient to avoid extremes of temperature. When a patient has altered tissue perfusion, which intervention should be

included in the patient's care?

• Keep the patient's environment on the cool side.
• Instruct the patient to avoid extremes of temperature.
• Use local applications of heat, such as hot water bottles.
• Instruct the patient to wear underclothing made of elastic materials.
• "This test evaluates blood flow in various parts of the

heart." The patient who is scheduled for a nuclear (thallium) imaging scan asks the nurse about the purpose of this test. Which response by the LPN/LVN is correct?

• "This test measures the electrical activity within the heart."
• "This test evaluates blood flow in various parts of the heart."
• "This test determines the pressure in various chambers of the heart."
• "This test provides visual information about the interior of a coronary artery."
• Assess renal status.
• Assess the patient's allergy status, especially related to

iodine.

• The physician must obtain informed consent for the

procedure from the patient.A patient is scheduled for cardiac catheterization this morning. Before the procedure can be started, what must be accomplished? (Select all that apply.)

• Assess renal status.
• Evaluate any difficulty swallowing.
• Determine if the patient has a history of claustrophobia.
• Assess the patient's allergy status, especially related to iodine.
• The physician must obtain informed consent for the procedure from the patient.
• Controlling stress
• Controlling weight
• Restricting sodium intake
• Monitoring and keeping cholesterol level normal

ID: 11080998053

The nurse is preparing to implement a teaching plan for a patient with mild hypertension. What should be included in the plan for this patient? (Select all that apply.)

• Controlling stress
• Controlling weight
• Restricting sodium intake
• Maintaining a sedentary lifestyle
• Monitoring and keeping cholesterol level normal

• "These tests can determine changes in your kidneys

that can cause hypertension." A 46-year-old patient has been diagnosed with hypertension. His resting blood pressure (BP) is 180/100 mm Hg. His physician has ordered an electrocardiogram, chest x-ray, urinalysis, and renal function studies. He asks the nurse, "Why are all these tests necessary?" Which is the best response by the nurse?

• "You might have had a heart attack."
• "These tests are always part of a work-up."
• "These tests can determine changes in your kidneys that can cause

hypertension."

• "If you have a urinary tract infection, we will know what caused your

hypertension."

• After exerciseThe student nurse is reviewing the patient's chart and notes that the patient

experiences intermittent claudication. When is the patient most likely to experience this disorder?

• After exercise
• Immediately after exposure to cold
• First thing in the morning after getting out of bed
• After dorsiflexion of the foot when phlebitis is present
• Raynaud diseaseA patient complains of burning and numbness in her hands and states that "they

turn really red" if she is in an air-conditioned environment for too long. The nurse would anticipate which diagnosis?

• Hypertension
• Arterial occlusion
• Raynaud disease
• Carpal tunnel syndrome (CTS)
• "My vision is a little blurry."Which of these complaints, if made by a 58-year-old man, may reflect a symptom

of hypertension?

• "My vision is a little blurry."
• "I'm having some hearing problems."
• "My back seems to be hurting me more frequently."
• "I'm not sleeping as late in the morning as I used to."
• "Varicose veins are veins that are enlarged and

engorged with blood." The patient has recently been diagnosed with varicose veins and states, "I really don't understand what varicose veins are." Which response by the nurse most accurately describes varicose veins?

• "Varicose veins are veins that are enlarged and engorged with blood."
• "Varicose veins are veins that are atrophied, with their surfaces constricted."

C."Varicose veins are veins that have hardened, with their openings narrowed."

• "Varicose veins are veins that have become infected by the invasion of

bacteria."

• Promote venous returnA patient with varicose veins wears elastic support hose. The nurse knows these

stockings serve which purpose?

• Promote venous return

B.Protect the legs from injury C.Provide warmth for the lower legs

• Decrease circulation to the lower limbs

• The patient has swelling, redness, and warmth of the

affected extremity.The nurse is assessing a patient who is 2 days postoperative from hip replacement surgery. During the assessment, which signs and symptoms would alert the nurse to the possibility that the patient has developed thrombophlebitis in the right calf?

• The patient has cyanosis of the affected extremity.
• The patient complains of severe weakness in the affected extremity.
• The patient has swelling, redness, and warmth of the affected extremity.
• The patient has noted bulging of the blood vessels in the affected extremity.
• Begin an exercise program of walking or swimming. When planning a home care program for the patient with peripheral vascular

disease, which suggestion by the LPN/LVN would be most helpful to the patient if approved by the physician?

• Decrease the fluid intake to 1500 mL/day.

B.Start a carbohydrate diet with added fiber.

• Apply heat to the legs every night before bed.
• Begin an exercise program of walking or swimming.
• Elevating the legs
• Constrictive clothing
• Cold room temperature

The nurse is caring for a patient recently diagnosed with peripheral arterial disease. Which activities should the nurse educate the patient to avoid? (Select all that apply.)

• Walking
• Swimming
• Elevating the legs
• Constrictive clothing
• Cold room temperature
• Controlling his weight
• Restricting sodium intake in his diet
• Incorporating exercise into his daily routine
• Developing methods to help with controlling stress

A patient has been diagnosed with mild hypertension. Which intervention(s) will likely be included in his plan of care? (Select all that apply.)

• Controlling his weight
• Restricting sodium intake in his diet
• Taking an adrenergic-inhibiting drug
• Incorporating exercise into his daily routine
• Developing methods to help with controlling stress
• Exertional dyspneaA patient reports a history of severe mitral valve disorder. What sign or symptom

does the nurse expect to find?

• Hypotension
• Exertional dyspnea
• Digestive problems
• A widening pulse pressure
• Ventricular fibrillationWhich dysrhythmia will definitely result in death without cardiopulmonary

resuscitation (CPR)?

• Atrial fibrillation
• Ventricular fibrillation
• Ventricular tachycardia
• Premature ventricular contractions (PVC)