NCLEX Review - Week 03_Cardiovascular_Pt1

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See what you know about cardiovascular medications!

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Mrs. Ramos

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NCLEX Review - Week 03_Cardiovascular_Pt1


Froggy Jumps NCLEX Review - Week 03_Cardiovascular_Pt1Online version See what you know about cardiovascular medications! by Mrs. Ramos 1 A client with a history of hypertension is prescribed lisinopril. Which finding requires immediate intervention? a Blood pressure of 130/80 mmHg b Mild dizziness when standing c Potassium level of 5.8 mEq/L 2 The nurse is assessing a client with heart failure. Which assessment finding indicates fluid volume overload? a Flat neck veins b Bilateral crackles in lungs c Blood pressure of 90/60 mmHg 3 Which instruction should the nurse include when teaching a client how to take nitroglycerin sublingually? a Store the medication in the refrigerator b Swallow the tablet whole with water c Take one tablet every 5 minutes, up to three times, for chest pain 4 Which of the following is a priority teaching point for a client prescribed warfarin? a Report signs of bleeding, such as bruising or tarry stools b Eat more leafy green vegetables c Use a firm-bristled toothbrush to maintain oral hygiene 5 The nurse is monitoring a client who is receiving IV heparin. Which laboratory value should be monitored? a PT b aPTT c INR 6 A client with atrial fibrillation is prescribed digoxin. Which finding should the nurse report immediately? a Nausea and blurred vision b Heart rate of 58 bpm c Potassium level of 4.2 mEq/L 7 A client with peripheral artery disease (PAD) reports leg pain when walking that stops with rest. What is the nurse’s best explanation? a This is a sign of deep vein thrombosis b This is a symptom of muscle fatigue c This is known as intermittent claudication 8 What is the most important assessment finding after administering metoprolol to a client with angina? a Heart rate b Oxygen saturation c Blood glucose level 9 Which client is at highest risk for developing left-sided heart failure? a A 60-year-old with a history of DVT b A 70-year-old with a history of myocardial infarction c A 28-year-old with a recent appendectomy 10 A client taking amiodarone asks why regular eye exams are necessary. What is the nurse’s best response? a Amiodarone can cause corneal deposits and vision changes b Amiodarone increases intraocular pressure c It can cause retinal detachment 11 A client presents to the emergency department with chest pain unrelieved by rest. The nurse notes ST elevation in leads II, III, and aVF. What is the nurse’s priority action? a Obtain a 12-lead ECG b Administer sublingual nitroglycerin c Initiate oxygen at 2 L/min 12 Which laboratory value is most specific for diagnosing a myocardial infarction? a Creatine kinase (CK) b Lactate dehydrogenase (LDH) c Troponin I 13 A nurse is caring for a client post-MI. Which order should the nurse question? a Aspirin 81 mg PO daily b NSAIDs for pain management c High-dose atorvastatin at bedtime 14 What is the purpose of administering morphine to a client experiencing an MI? a Decrease preload and relieve pain b Increase myocardial oxygen supply c Reduce blood pressure 15 What ECG change is most indicative of a myocardial infarction? a Prolonged PR interval b Inverted T waves c ST segment elevation 16 Which finding indicates that a client with left-sided heart failure is developing pulmonary edema? a Peripheral edema and jugular vein distension b Dry cough and bradycardia c Crackles in the lungs and pink, frothy sputum 17 Which dietary instruction is most important for a client with heart failure? a Avoid caffeine and alcohol b Limit sodium intake to 2 grams per day c Increase intake of green leafy vegetables 18 A client receiving digoxin for heart failure has a serum potassium of 3.0 mEq/L. What should the nurse do first? a Hold the next dose of digoxin b Administer potassium supplements c Notify the provider immediately 19 Which medication improves symptoms and prolongs life in clients with systolic heart failure? a Digoxin b Furosemide c Lisinopril 20 The nurse is caring for a client newly diagnosed with heart failure. Which of the following is an appropriate nursing diagnosis? a Risk for fluid volume deficit b Imbalanced nutrition: more than body requirements c Impaired gas exchange 21 Which intervention should the nurse include when caring for a client post-cardiac catheterization via femoral artery? a Apply a warm compress to the insertion site b Monitor for bleeding and keep the leg extended c Elevate the head of the bed to 90 degrees

NCLEX Review - Week 03_Cardiovascular_Pt1

Froggy Jumps

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NCLEX Review - Week 03_Cardiovascular_Pt1Online version

by Mrs. Ramos

A client with a history of hypertension is prescribed lisinopril. Which finding requires immediate intervention?

The nurse is assessing a client with heart failure. Which assessment finding indicates fluid volume overload?

Which instruction should the nurse include when teaching a client how to take nitroglycerin sublingually?

Which of the following is a priority teaching point for a client prescribed warfarin?

The nurse is monitoring a client who is receiving IV heparin. Which laboratory value should be monitored?

A client with atrial fibrillation is prescribed digoxin. Which finding should the nurse report immediately?

A client with peripheral artery disease (PAD) reports leg pain when walking that stops with rest. What is the nurse’s best explanation?

What is the most important assessment finding after administering metoprolol to a client with angina?

Which client is at highest risk for developing left-sided heart failure?

A client taking amiodarone asks why regular eye exams are necessary. What is the nurse’s best response?

A client presents to the emergency department with chest pain unrelieved by rest. The nurse notes ST elevation in leads II, III, and aVF. What is the nurse’s priority action?

Which laboratory value is most specific for diagnosing a myocardial infarction?

A nurse is caring for a client post-MI. Which order should the nurse question?

What is the purpose of administering morphine to a client experiencing an MI?

What ECG change is most indicative of a myocardial infarction?

Which finding indicates that a client with left-sided heart failure is developing pulmonary edema?

Which dietary instruction is most important for a client with heart failure?

A client receiving digoxin for heart failure has a serum potassium of 3.0 mEq/L. What should the nurse do first?

Which medication improves symptoms and prolongs life in clients with systolic heart failure?

The nurse is caring for a client newly diagnosed with heart failure. Which of the following is an appropriate nursing diagnosis?

Which intervention should the nurse include when caring for a client post-cardiac catheterization via femoral artery?