NCLEX-RN
Exam for RN Cardiovascular NCLEX Exam Questions
Question 1 of 5
The nurse is assessing a client's cardiac rhythm strip and notices that it is irregular without any P waves before the QRS complexes. The nurse should interpret this as
Correct Answer: D
Rationale: Atrial fibrillation is characterized by an irregular rhythm and absent P waves due to chaotic atrial activity.
Question 2 of 5
The nurse is assisting a physician in performing a bronchoscopy. The nurse suspects the client is experiencing a vasovagal response as evidence by the client's
Correct Answer: D
Rationale: A vasovagal response causes bradycardia due to vagal nerve stimulation during procedures like bronchoscopy.
Question 3 of 5
The nurse is assisting the primary health care provider (PHCP) with an elective electrical cardioversion for a chronic atrial fibrillation client. Prior to this procedure, the nurse should perform which action?
Correct Answer: D
Rationale: Informed consent is required for elective cardioversion, a procedure with risks like thromboembolism.
Extract:
The following scenario applies to the next 6 items
The client is a 72-year-old male who presents to the emergency department with increasing
shortness of breath over the past two days that gets worse when he is lying flat in bed at night.
Item 1 of 6
History And Physical Nurses' Notes Flow Sheet
0700: The client is a 72-year-old male who presents to the emergency department with increasing shortness of breath over the past two days that gets worse when he is lying flat in bed at night. He states, "I feel like I can't catch my breath," and he had to sleep in a recliner. He reports a 4 lb weight gain over the last week and increasing fatigue. The client is alert and oriented but is using his accessory muscles to breathe. He reports feeling short of breath, orthopnea, and paroxysmal nocturnal dyspnea. He has bilateral pedal edema (+2), bilateral crackles heard upon auscultation, and jugular vein distention noted on his assessment. The
the client has a medical history of hypertension, coronary artery disease, and a prior myocardial infarction. He was diagnosed with heart failure with reduced ejection fraction (HFrEF) two years ago. Current home medications include lisinopril, metoprolol succinate, furosemide, and atorvastatin.
Question 4 of 5
Which findings suggest a worsening of the client's condition and warrant follow-up by the nurse for a client presenting with shortness of breath and heart failure? Select all that apply.
Correct Answer: A,B,C,D,E,F,G
Rationale: All findings indicate worsening heart failure: A, B, C, G - Shortness of breath, orthopnea, and paroxysmal nocturnal dyspnea suggest pulmonary congestion. D: Weight gain indicates fluid retention. E: Accessory muscle use shows respiratory distress. F: Crackles indicate pulmonary edema.
Extract:
The following scenario applies to the next 1 items
The nurse in the intensive care unit (ICU) is caring for a 41-year-old male client.
Item 1 of 1
Progress Notes
1544: Received client to ICU immediately following percutaneous transluminal coronary angioplasty followed by stenting via right femoral artery. Notified primary health care provider about client status. Awaiting orders.
The nurse contacts the primary healthcare provider for admission orders
Question 5 of 5
For each potential order, click to specify whether the potential order is indicated or not indicated for the client post-percutaneous transluminal coronary angioplasty.
| Potential orders | Indicated | Not indicated |
|---|---|---|
| Head of the bed elevated up to 30 degrees | ||
| Elevate the right leg on a pillow | ||
| Continuous cardiac monitoring | ||
| Serial troponin levels | ||
| Keep the client NPO | ||
| Obtain serum glucose levels every two hours |
Correct Answer: A,C,D,F
Rationale: A: Indicated - Elevating the head of the bed promotes comfort and reduces cardiac workload. B: Not indicated - Elevating the leg is not standard post-angioplasty unless specified for complications. C: Indicated - Continuous monitoring detects arrhythmias post-procedure. D: Indicated - Serial troponin levels monitor for myocardial injury. E: Not indicated - NPO status is typically temporary and not required post-procedure unless specified. F: Indicated - Glucose monitoring is crucial for diabetic patients or those at risk post-procedure.