CARDIAC NCLEX QUESTIONS and ANSWERS LATEST 2024 100%Accuracy.
1) A client is scheduled for a cardiac catherization using a radiopaque dye. Which of
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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 - correct answers4. 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 noncardiac 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?" - correct
answers3."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. - correct answers2. 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?
CARDIAC NCLEX QUESTIONS and ANSWERS
LATEST 2024 100%Accuracy.
1.Review the intake and output records for the last 2 days
2.Change the time of diuretic administration from morning to evening
3.Request a sodium restriction of 1 g/day from the physician.
4.Order daily weights starting the following morning. - correct answers1.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 - correct answers1. 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. -
correct answers4.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
5 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 - correct answers4. Protamine sulfate
The antidote to heparin is protamine sulfate and should be readily available for use if
excessive bleeding or hemorrhage should occur. Vitamin K is an antidote for warfarin.
8) A client is at risk for pulmonary embolism and is on anticoagulant therapy with
warfarin (Coumadin). The client's prothrombin time is 20 seconds, with a control of 11
seconds. The nurse assesses that this result is:
1.The same as the client's own baseline level
2.Lower than the needed therapeutic level
3.Within the therapeutic range
4.Higher than the therapeutic range - correct answers3. Within the therapeutic range
(11 x 1.5=16.5)
The therapeutic range for prothrombin time is 1.5 to 2 times the control for clients at risk
for thrombus. Based on the client's control value, the therapeutic range for this
individual would be 16.5 to 22 seconds. Therefore the result is within therapeutic range
9) A client who has been receiving heparin therapy also is started on warfarin. The
client asks a nurse why both medications are being administered. In formulating a
response, the nurse incorporates the understanding that warfarin:
1.Stimulates the breakdown of specific clotting factors by the liver, and it takes 2-3 days
for this to exert an anticoagulant effect.
2.Inhibits synthesis of specific clotting factors in the liver, and it takes 3-4 days for this
medication to exert an anticoagulant effect.
3.Stimulates production of the body's own thrombolytic substances, but it takes 2-4 days
for this to begin.
4.Has the same mechanism of action as Heparin, and the crossover time is needed for
the serum level of warfarin to be therapeutic. - correct answers2. Inhibits synthesis of
specific clotting factors in the liver, and it takes 3-4 days for this medication to exert an
anticoagulant effect.
Warfarin works in the liver and inhibits synthesis of four vitamin K-dependent clotting
factors (X, IX, VII, and II), but it takes 3 to 4 days before the therapeutic effect of
warfarin is exhibited. [Show Less]