NCLEX PN CARDIOVASCULAR REAL EXAM WITH NGN 100 QUESTIONS AND ANSWERS (PROFESSOR VERIFIED), Exams of Nursing

Download NCLEX PN CARDIOVASCULAR REAL EXAM WITH NGN 100 QUESTIONS AND ANSWERS (PROFESSOR VERIFIED) and more Exams Nursing in PDF only on Docsity! NCLEX PN CARDIOVASCULAR REAL EXAM WITH NGN 100 QUESTIONS AND ANSWERS (PROFESSOR VERIFIED) LATEST EDITION 2023-2024 | GRADED A+ A client with a history of angina pectoris tells the nurse that chest pain usually occurs after going up two flights of stairs or after walking four blocks. The nurse interprets that the client is experiencing which of the following types of angina? -----CORRECT ANSWER------------Stable A client with angina pectoris has just been started on medication therapy with nitroglycerin (Nitrostat). In planning care for this client, the nurse would place priority on measuring: -----CORRECT ANSWER------------Vital S A nurse is assisting a hospitalized client who is newly diagnosed with coronary artery disease (CAD) to make appropriate selections from the dietary menu. The nurse encourages the client to select which of the following meals? -----CORRECT ANSWER------------Fresh strawberries, steamed vegetables, and baked fish A nurse has reinforced dietary instructions to a client with coronary artery disease. Which statement by the client indicates an understanding of the dietary instructions? -----CORRECT ANSWER------------"I should routinely use polyunsaturated oils in my diet." A nurse is assigned to assist with caring for a client after cardiac catheterization. The nurse plans to maintain bedrest with: -----CORRECT ANSWER------------Head elevation of no more than 30 degrees A client has just completed an information session about measures to minimize the progression of coronary artery disease (CAD). The nurse determines that the client indicates an initial understanding of lifestyle alterations if the client states an intention to: -----CORRECT ANSWER------- -----Eat a diet that is low in fat and cholesterol. A nurse determines that a client with coronary artery disease (CAD) has the necessary understanding of disease management if the client makes which statement? -----CORRECT ANSWER------------"I will walk for one-half hour daily." A nurse is caring for a client with a diagnosis of myocardial infarction (MI) and is assisting the client in completing the diet menu. Which of the following beverages does the nurse instruct the client to select from the menu? -----CORRECT ANSWER------------Lemonade A nurse notes that a client who is attached to a cardiac monitor suddenly develops atrial fibrillation at a rate of 130. The nurse notifies the registered nurse immediately and prepares the client for which initial intervention? ----- CORRECT ANSWER------------Administration of a calcium channel blocker A client seeks medical attention for intermittent episodes in which the fingers of both hands become cold, pale, and numb. The client states that they then become reddened and swollen with a throbbing, achy pain. The nurse further collects data on the client to see whether these episodes occur with: -----CORRECT ANSWER------------Ingestion of coffee or chocolate A nurse is asked to assist another health care member in providing care to a client who is placed in a modified Trendelenburg's position. The nurse nurse listens to breath sounds, expecting to hear bilateral: -----CORRECT ANSWER------------Crackles A nurse is preparing to provide a therapeutic environment for a client who recently had a myocardial infarction (MI). The nurse should alter the environment to ensure that it is: -----CORRECT ANSWER------------Low stimulus, low stress A nurse working the 3:00 to 11:00 PM shift notes that a client with coronary artery disease (CAD) has a prescription for serum lipid levels to be drawn in the morning. The nurse places the client on which dietary preparation to ensure accurate test results? -----CORRECT ANSWER------------Fasting for 12 hours A nurse is told during shift report that a client is having occasional ventricular dysrhythmias. The nurse reviews the client's laboratory results, recalling that which electrolyte imbalance could be responsible for this development? -----CORRECT ANSWER------------Hypokalemia A nurse is planning adaptations needed for activities of daily living for a client with cardiac disease. The nurse would incorporate which of the following in discussions with the client? -----CORRECT ANSWER------------ Take in adequate daily fiber to prevent straining during a bowel movement. A client is at risk for developing disseminated intravascular coagulopathy (DIC). The nurse should become concerned with which of the following fibrinogen levels? -----CORRECT ANSWER------------90 mg/dL A nurse has reinforced home care instructions to a client who had a permanent pacemaker inserted. Which educational outcome has the greatest impact on the client's long-term cardiac health? -----CORRECT ANSWER------------Ability to take an accurate pulse in either the wrist or neck A client receiving parenteral nutrition (PN) has a history of congestive heart failure. The health care provider has prescribed furosemide (Lasix) 40 mg orally daily to prevent fluid overload. The nurse monitors which laboratory value to identify an adverse effect from this medication? -----CORRECT ANSWER------------Potassium The nurse is caring for the client immediately after insertion of a permanent demand pacemaker via the right subclavian vein. The nurse prevents dislodgement of the pacing catheter by implementing which intervention? -- ---CORRECT ANSWER------------Limiting movement and abduction of the right arm A nurse is teaching the client with angina pectoris about disease management and lifestyle changes that are necessary in order to control disease progression. Which statement by the client indicates a need for further teaching? -----CORRECT ANSWER------------"It is best to exercise once a week for an hour." A nurse is checking the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets that the neurovascular status is: -----CORRECT ANSWER--------- ---Normal, caused by increased blood flow through the leg A nurse has completed counseling about smoking cessation with a client with coronary artery disease. The nurse determines that the client has understood the material best if the client states that: -----CORRECT ANSWER------------"A smoker has twice the risk of having a heart attack than a nonsmoker." A nurse is assisting in the care of a client diagnosed with rheumatic heart disease. When teaching the client about self-management of this health problem, the nurse reminds the client to alert his dentist about the condition because: -----CORRECT ANSWER------------The client requires prophylactic antibiotics before treatment. A nurse enters a client's room and finds the client slumped down in the chair. Breathing is shallow and a pulse is present. Based on these data, the nurse determines that the priority would be to: -----CORRECT ANSWER---- --------Check the vital signs and level of consciousness. A licensed practical nurse (LPN) is assisting in the care of a client who is having central venous pressure (CVP) measurements taken by the registered nurse (RN). The LPN would assist the RN by placing the bed in which of the following positions for the reading? -----CORRECT ANSWER-- ----------Flat A nurse determines that a client with coronary artery disease (CAD) understands disease management if the client makes which of the following statements? -----CORRECT ANSWER------------"I will walk for one-half hour daily." A nurse is beginning to ambulate a client with activity intolerance caused by bacterial endocarditis. The nurse determines that the client is best tolerating ambulation if which parameter is noted? -----CORRECT ANSWER------------Blood pressure that increases from 114/82 to 118/86 mm Hg 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." The appropriate nursing response is which of the following? -----CORRECT ANSWER------------"You are concerned about losing your leg?" 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 do which of the following to care for this client in a holistic manner? -----CORRECT ANSWER------------Instruct the family member to dress the client warmly before going outside. A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and shortness of breath, and the client is visibly anxious. The nurse understands that a life-threatening complication of this condition is: -- ---CORRECT ANSWER------------Pulmonary Embolism A male 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? -----CORRECT ANSWER---- --------Explore the specific concerns with the client. A nurse working in a long-term care facility is collecting data from a client experiencing chest pain. The nurse would interpret that the pain is likely a result of myocardial infarction (MI) if which of the following observations is made by the nurse? -----CORRECT ANSWER------------The pain has not been unrelieved by rest and nitroglycerin tablets. A nurse is planning to teach a client with peripheral arterial disease about measures to limit disease progression. The nurse should include which items on a list of suggestions to be given to the client? Select all that apply. -----CORRECT ANSWER------------Cut down on the amount of fats consumed in the diet, Walk each day to increase circulation to the legs, Be careful not to injure the legs or feet, Eat a well-balanced diet every day. A client has experienced several episodes of sickle cell crisis. Which instruction should be included in the client's teaching plan to prevent recurrence? -----CORRECT ANSWER------------Wear shoes and socks when walking outside to prevent damage to the feet. A nurse is caring for a client with a diagnosis of myocardial infarction (MI). The client reports chest pain. When the administration of a sublingual nitroglycerin tablet as prescribed does not relieve the chest pain, the next nursing action is to: -----CORRECT ANSWER------------Check the blood pressure and administer another nitroglycerin tablet. The nurse observes the following rhythm on the cardiac monitor. (Refer to the figure.) Which action should the nurse take first? -----CORRECT ANSWER------------Evaluate the client for hypotension and assess mental status. An older client with ischemic heart disease has experienced an episode of dizziness and shortness of breath. The nurse reviews the plan of care and notes documentation of decreased cardiac output, dyspnea, and syncopal episodes. The nurse plans to take which important action in the care of the client? -----CORRECT ANSWER------------Place the client on a cardiac monitor. A client with coronary artery disease has selected guided imagery to help cope with psychological stress. Which statement by the client indicates the best understanding of this stress reduction measure? -----CORRECT ANSWER------------"The best thing about this is that I can use it anywhere, anytime." A nurse is monitoring a client following cardioversion. Which of the following observations would be of highest priority to the nurse? ----- CORRECT ANSWER------------Status of airway A nurse is caring for a client with Buerger's disease. Which finding would the nurse determine is a potential complication associated with this disease? -----CORRECT ANSWER------------Numbness and tingling in the legs A client with a diagnosis of myocardial infarction has a new activity prescription allowing the client to have bathroom privileges. As the nurse stands and begins to walk, the client begins to complain of chest pain. The nurse should initially take which action? -----CORRECT ANSWER------------ Assist the client to get back into bed. A client complaining of chest pain has an as-needed (PRN) prescription for sublingual nitroglycerin (Nitrostat). Before administering the medication to A nurse is providing discharge teaching for a post myocardial infarction (MI) client who will be taking one baby aspirin a day. The nurse determines that the client understands the use of this medication if the client makes which statement? -----CORRECT ANSWER------------"I will take this medication every day." A nurse is caring for a client on a cardiac monitor who is alone in a room at the end of the hall. The client has a short burst of ventricular tachycardia (VT) followed by ventricular fibrillation (VF). The client suddenly loses consciousness. Which intervention should the nurse do first? ----- CORRECT ANSWER------------Call for help and initiate cardiopulmonary resuscitation (CPR). A client undergoing computed tomography (CT) scan develops chest pain, wheezing, and stridor after injection of contrast media. Which type of shock is this client most likely exhibiting? -----CORRECT ANSWER------------ Anaphylactic A nurse provides 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? -----CORRECT ANSWER------------"I should avoid sitting in one position for long periods of time." A client's blood pressure is 100/78 mm Hg; the client has tachycardia and is cool and pale. The nurse assists the client to which position to promote tissue oxygenation? -----CORRECT ANSWER------------Semi-Fowler's A client with chronic atrial fibrillation is being started on amiodarone (Cordarone) as maintenance therapy for dysrhythmia suppression. A nurse provides instructions to the client about the medication. Which statement by the client indicates a need for further instruction? -----CORRECT ANSWER------------"I will stop taking the prescribed anticoagulant after starting this new medication." For a client diagnosed with pulmonary edema, the nurse establishes a goal to have the client participate in activities that reduce cardiac workload. Which of the following client activities will contribute to achieving this goal? -----CORRECT ANSWER------------Using a bedside commode for stools A 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 of the following questions? -----CORRECT ANSWER------------"Where is the pain located?" A client admitted to the hospital with coronary artery disease complains of dyspnea at rest. The nurse determines that which of the following items would be of most help to the client? -----CORRECT ANSWER------------ Elevating the head of the bed to at least 45 degrees A 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: -----CORRECT ANSWER------------Respirations and blood pressure A sublingual nitroglycerin (Nitrostat) tablet administered to a client for chest pain has relieved the pain. The nurse ensures that the client has which important item within easy reach before leaving the room? -----CORRECT ANSWER------------Call Bell A hypertensive client who has been taking metoprolol (Lopressor) has been prescribed to decrease the dose of the medication. The client asks the nurse why this must be done over a period of 1 to 2 weeks. In formulating a response, the nurse incorporates the understanding that abrupt withdrawal could: -----CORRECT ANSWER------------Precipitate rebound hypertension A client has experienced an episode of pulmonary edema. The nurse determines that the client's respiratory status is improving if which of the following breath sounds are noted? -----CORRECT ANSWER------------ Crackles in the lung bases The nurse notes this dysrhythmia on the client's cardiac monitor (refer to figure). The nurse next reports that the client is experiencing which of the following? -----CORRECT ANSWER------------Atrial fibrillation A client admitted to the hospital with a diagnosis of myocardial infarction (MI) tells the nurse that the pain likely resulted from the fried chicken sandwich that the client had for lunch. The nurse responds to the client, using the knowledge that: -----CORRECT ANSWER------------Denial is a common occurrence early after MI.