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Cardiovascular NCLEX Questions: A Comprehensive Guide for Nursing Students, Exams of Nursing

University of AberdeenNursing

A series of multiple-choice questions focused on cardiovascular health and related nursing interventions. It covers various aspects of cardiovascular assessment, diagnosis, and management, including hypertension, peripheral vascular disease, and cardiac catheterization. The questions are designed to test the knowledge and understanding of nursing students preparing for the nclex exam.

Typology: Exams

2024/2025

Available from 03/05/2025

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Cardiovascular NCLEX Questions
1. D. taking daily weight measurements Correct Answer(s) The 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?
A.
Checking for pitting
B.
Measuring the extremity
C.
Measuring intake and output
D.
Taking daily weight measurements
2. B. Assessing the patient's peripheral pulses Correct Answer(s) When a
patient returns to the unit after a cardiac catheterization, which nursing
intervention should immediately follow taking vital signs?
A.
Providing the patient with fluids
B.
Assessing the patient's peripheral pulses C.Placing the patient in a warm bed and
encouraging sleep
D. Reapplying the patient's dressing where the catheter was inserted
3. D. Assess the patient's apical pulse rate and rhythm, noting the presence of
pulse deficit. Correct Answer(s) When performing a cardiovascular assessment,
which action should the LPN/LVN take?
A.
Check the patient's urine for acetone.
B.
Obtain a sputum specimen from the patient.
C.
Find out whether the patient is the youngest in the family.
D.
Assess the patient's apical pulse rate and rhythm, noting the presence of pulse
deficit.
4. B. Assess for allergies to radiopaque dye Correct Answer(s) The nurse is
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17

Partial preview of the text

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Cardiovascular NCLEX Questions

  1. D. taking daily weight measurements Correct Answer(s) The 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? A. Checking for pitting B. Measuring the extremity C. Measuring intake and output D. Taking daily weight measurements
  2. B. Assessing the patient's peripheral pulses Correct Answer(s) When a patient returns to the unit after a cardiac catheterization, which nursing intervention should immediately follow taking vital signs? A. Providing the patient with fluids B. Assessing the patient's peripheral pulses C.Placing the patient in a warm bed and encouraging sleep D. Reapplying the patient's dressing where the catheter was inserted
  3. D. Assess the patient's apical pulse rate and rhythm, noting the presence of pulse deficit. Correct Answer(s) When performing a cardiovascular assessment, which action should the LPN/LVN take? A. Check the patient's urine for acetone. B. Obtain a sputum specimen from the patient. C. Find out whether the patient is the youngest in the family. D. Assess the patient's apical pulse rate and rhythm, noting the presence of pulse deficit.
  4. B. Assess for allergies to radiopaque dye Correct Answer(s) The nurse is

caring for a patient following an angiogram.Which action should the nurse include in the patient's care? A. Encourage restriction of fluid intake B. Assess for allergies to radiopaque dye C. Have the patient refrain from coughing D. Instruct the patient about ways to combat constipation

  1. B.The patient has diabetes mellitus. Correct Answer(s) 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? A. The patient is an accountant. B. The patient has diabetes mellitus. C. The patient is to receive chemotherapy. D. The patient had rheumatic fever as a child.
  2. A. Exercise Correct Answer(s) The 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?

B. Evaluate any difficulty swallowing. C. Determine if the patient has a history of claustrophobia. D. Assess the patient's allergy status, especially related to iodine. E. The physician must obtain informed consent for the procedure from the patient.

  1. A. Controlling stress B. Controlling weight C. Restricting sodium intake E. Monitoring and keeping cholesterol level normal Correct Answer(s) ID Correct Answer(s) 11080998053 The nurse is preparing to implement a teaching plan for a patient with mild hyper- tension. What should be included in the plan for this patient? (Select all that apply.) A. Controlling stress B. Controlling weight C. Restricting sodium intake D. Maintaining a sedentary lifestyle E. Monitoring and keeping cholesterol level normal
  1. C. "These tests can determine changes in your kidneys that can cause hypertension." Correct Answer(s) 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? A. "You might have had a heart attack." B. "These tests are always part of a work-up." C. "These tests can determine changes in your kidneys that can cause hyperten- sion." D. "If you have a urinary tract infection, we will know what caused your hyperten- sion."
  2. A. After exercise Correct Answer(s) The 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? A. After exercise B. Immediately after exposure to cold C. First thing in the morning after getting out of bed D. After dorsiflexion of the foot when phlebitis is present
  3. C. Raynaud disease Correct Answer(s) A 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? A. Hypertension B. Arterial occlusion C. Raynaud disease

C."Varicose veins are veins that have hardened, with their openings narrowed." D. "Varicose veins are veins that have become infected by the invasion of bacteria."

  1. A. Promote venous return Correct Answer(s) A patient with varicose veins wears elastic support hose. The nurse knows these stockings serve which purpose? A. Promote venous return B.Protect the legs from injury C.Provide warmth for the lower legs D. Decrease circulation to the lower limbs
  2. C.The patient has swelling, redness, and warmth of the affected extremity.- Correct Answer(s) 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? A. The patient has cyanosis of the affected extremity. B. The patient complains of severe weakness in the affected extremity. C. The patient has swelling, redness, and warmth of the affected extremity. D. The patient has noted bulging of the blood vessels in the affected extremity.
  3. D. Begin an exercise program of walking or swimming. Correct Answer(s) When planning a home care program for the patient with peripheral vascular disease, which sug- gestion by the LPN/LVN would be most helpful to the patient if approved by the physician? A. Decrease the fluid intake to 1500 mL/day. B.Start a carbohydrate diet with added fiber. C. Apply heat to the legs every night before bed. D. Begin an exercise program of walking or swimming.
  1. C. Elevating the legs D. Constrictive clothing E. Cold room temperature Correct Answer(s) 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.) A. Walking B. Swimming C. Elevating the legs D. Constrictive clothing E. Cold room temperature
  2. A. Controlling his weight B. Restricting sodium intake in his diet D. Incorporating exercise into his daily routine E. Developing methods to help with controlling stress Correct Answer(s) A patient has been diagnosed with mild hypertension.Which intervention(s) will likely be included in his
  1. D.The patient reports frequent nausea and diarrhea. Correct Answer(s) The nurse is assessing the patient who has been taking digoxin for the past 2 months. Which assessment finding would alert the nurse that the patient may be experiencing digitalis toxicity? A. The patient reports feeling fatigued. B. The patient's heart rate is 54 beats/min. C. The patient has edema in the feet and ankles. D. The patient reports frequent nausea and diarrhea.
  2. D. "The medication increases the force of the heart contraction." Correct Answer(s) A patient who has heart failure (HF) has been prescribed a digitalis preparation. The patient asks the nurse how this medication will help his HF. Which response by the nurse is correct? A."The medication increases the heart rate." B."The medication decreases cardiac output."

C. "The medication decreases the diameters of the arteries." D. "The medication increases the force of the heart contraction."

  1. D. Green leafy vegetables Correct Answer(s) The patient is being discharged following a mitral valve replacement and will be prescribed the anticoagulant warfarin. Which food should the nurse instruct him to avoid? A. Bananas B. Dairy products C. All meat products D. Green leafy vegetables
  2. D. Peripheral cyanosis Correct Answer(s) The nurse is caring for a patient who was diagnosed with aortic valve stenosis.What would indicate that the patient's stenosis is worsen- ing? A. Angina B.Syncope C. Dyspnea D. Peripheral cyanosis
  3. B. Increasing dyspnea Correct Answer(s) The nurse is caring for a patient with cardiomyopathy. Which assessment finding should alert the nurse to worsening of the condition? A. Hypotension B. Increasing dyspnea C. An audible heart murmur D. Signs and symptoms of infection
  4. C. Untreated group A Streptococcus Correct Answer(s) What makes a person most susceptible to infective endocarditis?

should the nurse give this patient regarding the medication? A. It is necessary to refill the supply every 6 months. B. The tablet should be crushed and taken with water. C. Lie down when using NTG tablets. D. One NTG tablet should be taken every 15 minutes if pain occurs.

  1. A.Troponin Correct Answer(s) A 54-year-old man is admitted to the cardiac unit with chest pain radiating to his jaw and left arm. Which enzyme would be most specific in the diagnosis of a myocardial infarction (MI)? A. Troponin B. CK-MB (creatine kinase MB) C. LDH (L-lactate dehydrogenase) D. AST (aspartate aminotransferase)
  2. A. Ischemia of the myocardium Correct Answer(s) A patient who is admitted to the coronary care unit with an acute MI is complaining of severe substernal chest pain. What is the cause of the chest pain? A. Ischemia of the myocardium B. Ischemia of the carotid artery C. Spasm of the coronary arteries D. Vasodilation of the coronary veins
  3. A. Dysrhythmia Correct Answer(s) The nurse is caring for a patient who was just admitted to the hospital with an acute MI. What complication is the nurse most concerned will occur with this patient? A. Dysrhythmia B. Hyperkalemia C. Respiratory failure

D. Hypovolemic shock

  1. D. Female, age 48, with chronic angina and coronary artery disease (CAD)- Correct Answer(s) Which individual would be the most likely candidate for coronary artery bypass grafting (CABG) surgery? A. Male, age 25, with severe cardiomyopathy B. Male, age 85, with chronic heart failure (HF) C. Female, age 62, with malignant hypertension D. Female, age 48, with chronic angina and coronary artery disease (CAD)
  2. C. Administration of morphine Correct Answer(s) A patient has been admitted to the coronary care unit with a diagnosis of acute MI.The patient is experiencing severe chest pain. What intervention is MOST likely to relieve the patient's pain? A. Proper positioning B. Administration of codeine

A. Allowing the patient to rest B. Taking the patient's vital signs C. Administering oxygen via mask D. Monitoring the electrocardiogram (ECG) E. Assessing the pulses distal to the catheterization site

  1. B. Cardiac enzyme levels D. Patient history and physical exam Correct Answer(s) A patient with a 10-year history of angina is admitted to the unit with chest pain. The working medical diagnosis is to rule out MI. Definitive diagnosis of MI will be based on which information? (Select all that apply.) A. ECG Correct B. Cardiac enzyme levels C. Fluid and electrolyte status D. Patient history and physical exam E. CBC (complete blood count) with differential and ABGs (arterial blood gases)
  1. B. Acute kidney injury Correct Answer(s) A postcardiac surgery client with a BUN level of 45mg/dL and a serum creatine level of 2.2 mg/dL has a total 2 hour urine output of 25 mL. The nurse understands that the client is at risk for which? A. Hypovolemia B. Acute kidney injury C. glomerulonephritis D. Urinary tract infection
  2. D. premedicate the client with an analgesic before ambulating Correct Answer(s) The nurse is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate ambulation? A. Provide the client with a walker B. Remove the telemetry equipment C. encourage the client to cough and deep breathe D. premedicate the client with an analgesic before ambulating
  3. C. Check the client status and lead placement Correct Answer(s) A client is wearing a continu- ous cardiac monitor which begins to alarm at the nurse's station. The nurse sees no electrocardiographic complexes on the screen. The nurse should do which first? A. Call a code blue B. Call the health care provider C. Check the client status and lead placement D. Press the recorder button on the ECG console
  4. A. Administer oxygen B. insert a Foley catheter C. Administering furosemide ( Lasix)

B. Run to get a defibrillator from an adjacent nursing unit C. Call for help and initiate CPR D. Start the oxygen by cannula at 10L/minute an lower the head of the bed

  1. B. status of airway Correct Answer(s) The nurse is monitoring a client following cardioversion. Which observation should be of the highest priority to the nurse? A. Blood pressure B. status of airway C. oxygen flow rate D. level of consciousness
  2. B. Applying the adhesive patch electrodes to skin and moving away from the client Correct Answer(s) To use an external cardiac defibrillator on a client, which action should the nurse preform to check cardiac rhythm? A. Holding the defibrillator paddles firmly against the chest B. Applying the adhesive patch electrodes to skin and moving away from the client C. Connecting standard electrocardiographic electodes to a transtelephonic moni- toring device D. Applying standard electrocardiographic monitoring leads to the client and observ- ing the rhythm
  3. B. Limiting movement and abduction of the right arm Correct Answer(s) The nurse is assisting in caring for the client immediately after insertion of a permanent demand pace- maker via the right subclavin vein. The nurse prevents dislodgement of the pacing catheter by implementing which intervention? A. limiting movement an abduction of the left arm B. Limiting movement and abduction of the right arm

C. Assisting the client to get out bed and ambulate with a walker D. Having the physical therapist do active range of motion to the right arm

  1. C, Pulmonary Embolism Correct Answer(s) 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 what? A. Pneumonia B. Pulmonary Edema C. Pulmonary Embolism D. Myocardial infarction
  2. A. Smoking history Correct Answer(s) A 24-year old man seeks medical attention for complaints of claudication in the arch of the foot. The nurse also notes superficial throm- bophlebitis of the lower leg. The nurse should check the client for which next? A. Smoking history B. Recent exposure to allergens