NCLEX RN Cardiovascular Questions
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Question 1 of 5.
The nurse is caring for a client with weak pedal pulses, absent hair on bilateral legs, and a full-thickness wound on the right lateral malleolus with defined margins, including a minimal amount of serous exudate. Which of the following interventions is contraindicated?
A. Apply TED hose to bilateral legs
B. Assess the need for smoking cessation
C. Physical therapy consult
D. Obtain Ankle-Brachial Index (ABI) with a hand-held Doppler
Explanation: TED hose are contraindicated in arterial insufficiency (indicated by weak pulses and hair loss), as they may worsen ischemia.
Question 2 of 5.
The nurse is caring for a client with the below tracing on the electrocardiogram (ECG). The nurse should anticipate which prescription from the primary healthcare provider (PHCP)?
A. captopril
B. atropine
C. adenosine
D. diltiazem
Explanation: Atropine is used to treat bradycardia, which may be indicated by certain ECG tracings showing slow heart rates. Captopril is an ACE inhibitor for hypertension or heart failure, adenosine is used for supraventricular tachycardia, and diltiazem is a calcium channel blocker for rate control in atrial arrhythmias.
Question 3 of 5.
What is the correct documentation of the patient's peripheral pulse when the finding is that the posterior tibial pulse is weak and thready?
A. Grade C posterior tibial pulse
B. Posterior tibial pulse is Grade B
C. The client's posterior tibial is 2
D. Posterior tibial pulse is 1
Explanation: A weak and thready pulse is documented as a 1+ on a 0-4 scale, where 1 indicates a barely palpable pulse.
Question 4 of 5.
The nurse is caring for a client who appears to be developing heart failure (HF). Which of the following laboratory tests would the nurse expect the primary health care provider (PHCP) to prescribe to confirm the diagnosis?
A. Basic metabolic panel (BMP)
B. B-type natriuretic peptide (BNP)
C. Lipid profile
D. Troponin
Explanation: BNP is a specific biomarker elevated in heart failure, reflecting ventricular stress and fluid overload.
Question 5 of 5.
The nurse is caring for a client with the following tracing on the electrocardiogram (ECG). The nurse identifies this tracing as
A. sinus tachycardia.
B. supraventricular tachycardia.
C. ventricular tachycardia.
D. atrial flutter.
Explanation: Ventricular tachycardia is a life-threatening arrhythmia requiring immediate intervention, characterized by wide QRS complexes on ECG.
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