NCLEX Review - Week 04_Cardiovascular_Pt2

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See what you know by answering NCLEX style cardiovascular questions, part 2

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Mrs. Ramos

United States

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NCLEX Review - Week 04_Cardiovascular_Pt2


Froggy Jumps NCLEX Review - Week 04_Cardiovascular_Pt2Online version See what you know by answering NCLEX style cardiovascular questions, part 2 by Mrs. Ramos 1 A client presents with palpitations and ECG shows atrial fibrillation with a ventricular rate of 140 bpm. What is the priority nursing action? a Prepare for immediate defibrillation b Administer prescribed beta-blocker c Administer oxygen at 15 L/min via non-rebreather 2 A client with atrial fibrillation is prescribed warfarin. Which lab value should the nurse monitor to evaluate therapy effectiveness? a INR b aPTT c Fibrinogen 3 A nurse notices a client has no detectable pulse and ECG shows ventricular fibrillation. What should be done immediately? a Start chest compressions and call for defibrillation b Administer epinephrine 1 mg IV c Check the blood glucose level 4 A nurse is caring for a client with a permanent pacemaker. Which finding should be reported to the healthcare provider immediately? a Hiccups and muscle twitching b Mild fatigue during ambulation c Slight erythema at the insertion site 5 Which medication is commonly used to convert supraventricular tachycardia (SVT) to normal sinus rhythm? a Amiodarone b Atropine c Adenosine 6 A client with mitral valve stenosis is at risk for which complication? a Pulmonary embolism b Atrial fibrillation c Left ventricular hypertrophy 7 Which assessment finding is most concerning in a client with aortic stenosis? a Fatigue in the evening b Systolic murmur heard at apex c Syncope with exertion 8 What is the most appropriate preoperative teaching for a client scheduled for mechanical valve replacement? a You will not need any medications after surgery b You will require lifelong anticoagulation therapy c You will be discharged within 24 hours 9 A client with a prosthetic heart valve presents with fever and a new murmur. What should the nurse suspect? a Pericarditis b Viral myocarditis c Infective endocarditis 10 Which finding would most likely be heard in a client with mitral valve regurgitation? a Blowing systolic murmur at apex b Mid-systolic click c Opening snap 11 A client taking digoxin reports nausea, blurred vision, and seeing halos. What is the nurse’s priority action? a Administer antiemetic as prescribed b Encourage the client to increase fluid intake c Hold the digoxin dose and notify the provider 12 Which instruction should the nurse include when teaching a client about nitroglycerin tablets? a Call emergency services if chest pain is not relieved after the 3rd dose b Store the medication in the bathroom cabinet c Swallow the tablet whole with a full glass of water 13 A nurse is administering a loop diuretic. Which laboratory value should be monitored closely? a Potassium b Calcium c Sodium 14 A client taking atorvastatin reports muscle pain. What is the nurse’s best response? a Tell the client this is expected with exercise b Instruct the client to stop the medication immediately c Notify the healthcare provider for possible rhabdomyolysis 15 A client receiving heparin therapy has an aPTT of 90 seconds. What should the nurse do? a Give protamine sulfate immediately b Continue the heparin at the current dose c Stop the infusion and notify the provider 16 A client with chest pain has a troponin I level of 2.5 ng/mL. What is the nurse’s priority intervention? a Repeat the troponin test in 8 hours b Initiate cardiac monitoring and notify the provider c Encourage fluid intake to dilute the value 17 Which diagnostic test is most definitive for diagnosing heart valve disorders? a Electrocardiogram (ECG) b Echocardiogram c CT angiography 18 Which lab result would the nurse expect to be elevated in a client with heart failure? a CRP b D-dimer c BNP 19 The nurse is caring for a client scheduled for a cardiac stress test. Which instruction is appropriate? a Take your beta-blocker before the test b Drink plenty of water before the test c Avoid caffeine for 24 hours prior 20 A nurse reviews the ECG of a client with hyperkalemia. Which abnormality is most likely present? a ST segment depression b Prolonged PR interval c Peaked T waves 21 A client with peripheral artery disease reports pain in the legs when walking. What is the most appropriate nursing instruction? a Have the client walk until pain occurs, then rest b Encourage the client to keep legs elevated c Apply warm compresses to the legs

NCLEX Review - Week 04_Cardiovascular_Pt2

Froggy Jumps

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NCLEX Review - Week 04_Cardiovascular_Pt2Online version

by Mrs. Ramos

A client presents with palpitations and ECG shows atrial fibrillation with a ventricular rate of 140 bpm. What is the priority nursing action?

A client with atrial fibrillation is prescribed warfarin. Which lab value should the nurse monitor to evaluate therapy effectiveness?

A nurse notices a client has no detectable pulse and ECG shows ventricular fibrillation. What should be done immediately?

A nurse is caring for a client with a permanent pacemaker. Which finding should be reported to the healthcare provider immediately?

Which medication is commonly used to convert supraventricular tachycardia (SVT) to normal sinus rhythm?

A client with mitral valve stenosis is at risk for which complication?

Which assessment finding is most concerning in a client with aortic stenosis?

What is the most appropriate preoperative teaching for a client scheduled for mechanical valve replacement?

A client with a prosthetic heart valve presents with fever and a new murmur. What should the nurse suspect?

Which finding would most likely be heard in a client with mitral valve regurgitation?

A client taking digoxin reports nausea, blurred vision, and seeing halos. What is the nurse’s priority action?

Which instruction should the nurse include when teaching a client about nitroglycerin tablets?

A nurse is administering a loop diuretic. Which laboratory value should be monitored closely?

A client taking atorvastatin reports muscle pain. What is the nurse’s best response?

A client receiving heparin therapy has an aPTT of 90 seconds. What should the nurse do?

A client with chest pain has a troponin I level of 2.5 ng/mL. What is the nurse’s priority intervention?

Which diagnostic test is most definitive for diagnosing heart valve disorders?

Which lab result would the nurse expect to be elevated in a client with heart failure?

The nurse is caring for a client scheduled for a cardiac stress test. Which instruction is appropriate?

A nurse reviews the ECG of a client with hyperkalemia. Which abnormality is most likely present?

A client with peripheral artery disease reports pain in the legs when walking. What is the most appropriate nursing instruction?