Kaplan NCLEX Cardiac 100 Questions And Updated
Correct Answers 2023 Version
1. A client admitted to the hospital with chest pain and a history of type
... [Show More] 2 diabetes mellitus is
scheduled for cardiac catheterization. Which medication would need to be withheld for 24
hours before the procedure and for 48 hours after the procedure?
1. Regular insulin
2. Glipizide (Glucotrol)
3. Repaglinide (Prandin)
4. Metformin (Glucophage)
2. The nurse isreviewing an electrocardiogram rhythm strip. The P waves and QRS complexes
are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The
overall heart rate is 64 beats/minute. Which would be a correct interpretation based on these
characteristics?
1.Sinus bradycardia
2.Sick sinus syndrome
3.Normal sinus rhythm
4.First-degree heart block
3. A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse
sees no electrocardiographic complexes on the screen. Which is the priority action of the nurse?
1.Call a code.
2.Call the health care provider.
3.Check the client's status and lead placement.
4.Pressthe recorder button on the electrocardiogram console.
4. A client is having frequent premature ventricular contractions. The nurse should place priority
on assessment of which item?
1.Sensation of palpitations
2.Causative factors,such as caffeine
3.Precipitating factors,such asinfection
4.Blood pressure and oxygen saturation
5. The nurse is evaluating a client's response to cardioversion. Which observation would be of
highest priority to the nurse?
1.Blood pressure
2.Status of airway
3.Oxygen flow rate
4.Level of consciousness
6. The nurse is caring for a client who has just had implantation of an automatic internal
cardioverter-defibrillator. The nurse immediately would assess which item based on priority?
Kaplan NCLEX Cardiac 100 Questions And Updated
Correct Answers 2023 Version
1.Anxiety level of the client and family
2.Presence of a Medic-Alert card for the client to carry
3.Knowledge of restrictions of postdischarge physical activity
4.Activation status of the device, heart rate cutoff, and number ofshocks it is programmed to
deliver
7. A client's electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The
PR interval is 0.14 second, the QRS complex measures 0.08 second, and the PP and RR intervals
are regular. How should the nurse correctly interpret this rhythm?
1.Sinus dysrhythmia
2.Sinus tachycardia
3.Sinus bradycardia
4.Normal sinusrhythm
8. The nurse is assessing 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. How should the nurse correctly interpret the client's neurovascular status?
1.The neurovascularstatus is normal because of increased blood flow through the leg.
2.The neurovascular statusis moderately impaired, and the surgeon should be called.
3.The neurovascular status is slightly deteriorating and should be monitored for another hour.
4.The neurovascular statusis adequate from an arterial approach, but venous complications are
arising.1.
9. The nurse is evaluating the condition of a client after pericardiocentesis performed to treat
cardiac tamponade. Which observation would indicate that the procedure was unsuccessful?
1.Rising blood pressure
2.Clearly audible heart sounds
3.Client expressions of relief
4.Rising central venous pressure
10. A client with angina complains that the anginal pain is prolonged and severe and occurs at
the same time each day, most often at rest in the absence of precipitating factors. How would
the nurse best describe this type of anginal pain?
1.Stable angina
2.Variant angina
3.Unstable angina
4.Nonanginal pain
11. The nurse is monitoring a client with acute pericarditis for signs of cardiac tamponade.
Which assessment finding indicates the presence of this complication?
Kaplan NCLEX Cardiac 100 Questions And Updated
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