Exam for RN Cardiovascular NCLEX Exam
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Question 1 of 5.
Extract:The following scenario applies to the next 1 items The nurse cares for a client admitted for a myocardial infarction Item 1 of 1 Nurses' Note 0800 - Client was found in bed pale and diaphoretic, stating, I do not feel well. Approximately two minutes later, the cardiac monitor showed ventricular tachycardia. Upon assessment, the client became unresponsive and did not have a pulse.
For each potential intervention, click to specify if it is essential or contraindicated: A. Call a code blue, B. Cardiovert the client, C. Defibrillate the client, D. Anticipate a prescription for intravenous digoxin, E. Perform chest compressions
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Explanation: A: Essential - Calling a code blue activates the emergency response team for immediate intervention. B: Contraindicated - Cardioversion is used for synchronized shocks in stable rhythms like atrial fibrillation, not for pulseless ventricular tachycardia. C: Essential - Defibrillation is the treatment for pulseless ventricular tachycardia to restore a viable rhythm. D: Contraindicated - Digoxin is not used in acute cardiac arrest; it is for heart failure or rate control in arrhythmias. E: Essential - Chest compressions are required in pulseless clients as part of CPR.
Question 2 of 5.
The nurse is caring for a client following a femoral angiography. When developing this client's plan of care, the nurse plans to
A. encourage the client to ambulate within one hour following this procedure.
B. discontinue prescribed intravenous fluids immediately after the procedure
C. assess kidney function via lab testing on the day following the procedure.
D. maintain nothing by mouth (NPO) status for 4 hours following the procedure.
Explanation: Femoral angiography involves contrast dye, which can affect kidney function. Monitoring renal function via lab tests (e.g., creatinine) post-procedure is essential to detect contrast-induced nephropathy.
Question 3 of 5.
The nurse is caring for a client with myocardial infarction (MI), who is receiving tissue plasminogen activator (tPA), the nurse should plan to prioritize which of the following?
A. Observe for neurological changes
B. Monitor for any signs of renal failure
C. Observe for signs of bleeding
D. Check the client's food diary
Explanation: tPA is a thrombolytic that increases bleeding risk. Monitoring for signs of bleeding (e.g., hematoma, gastrointestinal bleeding) is critical.
Question 4 of 5.
The nurse is assessing a client with clinical manifestations of right ventricular heart failure (HF). Which of the following statements by the client would be consistent with this diagnosis?
A. I notice that my feet are always swollen.
B. I can't seem to get rid of this wet cough.
C. I develop shortness of breath after I walk a few feet.
D. My legs start to burn if I walk long distances.
Explanation: Right ventricular heart failure causes systemic venous congestion, leading to peripheral edema, such as swollen feet.
Question 5 of 5.
The nurse is caring for a client who is reporting pain in their left lower leg. How should the nurse assess for the presence of thrombophlebitis?
A. By palpating the skin over the tibia and fibula
B. By documenting daily calf circumference measurements
C. By recording vital signs obtained four times a day
D. By noting difficulty with ambulation
Explanation: Measuring calf circumference detects swelling, a key sign of thrombophlebitis, indicating possible deep vein thrombosis.
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