Cardiovascular System NCLEX RN Questions
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Question 1 of 5.
Extract:The following scenario applies to the next 1 items The nurse in the intensive care unit (ICU) is caring for 58-year-old male client Item 1 of 1 Medical History Vital Signs Medication Administration Record • atrial fibrillation • chronic obstructive pulmonary disease • hyperlipidemia • chronic back pain
Based on the 2000 vital signs, select two (2) immediate actions the nurse should take for a client with atrial fibrillation, COPD, hyperlipidemia, and chronic back pain.
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Explanation: Supplemental oxygen addresses potential hypoxia from COPD or atrial fibrillation complications. D: Correct - Notifying the provider ensures timely management of abnormal vital signs. A, C, E, F: Incorrect - No vital sign data suggests stopping infusions, assessing back pain, or changing to hypertonic saline.
Question 2 of 5.
The nurse is caring for a client with the below tracing on the electrocardiogram. The nurse should expect the client to demonstrate which clinical manifestation in conjunction with this electrocardiogram tracing? See the exhibit.
A. Jugular venous distention (JVD)
B. Systolic murmur
C. Irregular pulse
D. Widened pulse pressure
Explanation: An irregular ECG tracing, such as in atrial fibrillation, typically correlates with an irregular pulse due to inconsistent ventricular contractions.
Question 3 of 5.
The nurse is caring for a client who was recently admitted to the cardiac floor for angina. This client states that their chest pain occurs at the same time every day at rest. The client does not believe there are any precipitating factors. Which of the following types of angina is this client most likely experiencing?
A. Variant angina
B. Stable angina
C. Unstable angina
D. Nonanginal pain
Explanation: Variant (Prinzmetal's) angina occurs at rest, often at predictable times, due to coronary artery spasm, not exertion, unlike stable or unstable angina.
Question 4 of 5.
The nurse assesses the following electrocardiogram (ECG) strips for assigned clients. The nurse should immediately follow up with the client with which ECG strip?
A
B
C
D
Explanation: Without specific ECG details, the nurse prioritizes the strip indicating life-threatening arrhythmias (e.g., ventricular tachycardia or fibrillation) requiring immediate intervention.
Question 5 of 5.
The nurse is caring for a client with cardiac tamponade. Which vital signs are expected?
A. HR: 109 bpm; RR: 26; BP: 88/71 mmHg
B. HR: 90 bpm; RR: 32; BP: 90/52 mmHg
C. HR: 115 bpm; RR: 22; BP: 140/78 mmHg
D. HR: 54 bpm; RR: 14; BP: 161/52 mmHg
Explanation: Cardiac tamponade causes tachycardia (HR >100), increased respiratory rate, and hypotension due to restricted cardiac output.
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