Cardiovascular System NCLEX RN Questions
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Question 1 of 5.
Extract:The nurse is caring for a client who was admitted for an exacerbation of congestive heart failure. • Click to highlight the findings in the nurses' note which indicate that the client is progressing towards discharge. Nurses Notes Day 1 - 0900 - The client was ambulated 25 feet and did not tolerate the ambulation reporting dyspnea. Gait was unsteady. Provided education on aerobic exercise and the benefits for heart failure. Client verbally taught back the education with understanding. Day 3 - 0915 - The client ambulated 30 feet in the hallway without assistance. Gait was steady. The oxygen saturation after ambulation was 95% on room air. Scheduled furosemide was refused by the client. Educated the client on the purpose of the medication and its benefits.
Click to highlight the findings in the nurses' note which indicate that the client is progressing towards discharge.
A. The client was ambulated 25 feet and did not tolerate the ambulation reporting dyspnea.
B. Gait was unsteady.
C. Provided education on aerobic exercise and the benefits for heart failure.
D. The client ambulated 30 feet in the hallway without assistance. Gait was steady.
E. The oxygen saturation after ambulation was 95% on room air.
F. Scheduled furosemide was refused by the client.
Explanation: C: Correct - Education with client understanding indicates progress in self-management. D: Correct - Ambulating 30 feet without assistance and with steady gait shows improved physical tolerance. E: Correct - Oxygen saturation of 95% on room air post-ambulation indicates stable respiratory status. A, B, F: Incorrect - Dyspnea, unsteady gait, and medication refusal suggest ongoing issues, not progress toward discharge.
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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