Exam for RN Cardiovascular NCLEX Exam
Home / Nursing & Allied Health Certifications / NCLEX RN / RN Cardiovascular
Question 1 of 5.
Extract:The following scenario applies to the next 1 items The nurse in the outpatient clinic is caring for a 37-year-old male client Item 1 of 1 Nurses' Note Physician Orders Current Medications 1100: The client reports intermittent dizziness that started following the dosage increase of his prescribed spironolactone one week ago. The client states that it is worse for a few hours after he takes the medication but then resolves. On assessment, the client is alert and oriented. The client's breathing is unlabored and has clear lung fields bilaterally. Skin warm to the touch and pink in tone; pulses 2+ and regular. Capillary refill is 3 seconds. He denies any pain. Vital signs: T 98.6° F (37° C), P 76, RR 16, BP 130/86, pulse oximetry reading 98% on room air. Medical history of hypertension and hyperlipidemia.
The nurse prepares to obtain the client's orthostatic blood pressure (BP) by first positioning the client …………. then positioning the client …………. the client …………. When obtaining the blood pressure, the nurse should ……………….. The nurse should be concerned for orthostatic hypotension if the systolic blood pressure decreases by ………….. or the diastolic blood pressure decreases by……………….
A. Standing
B. Supine
C. Sitting
D. Obtain the blood pressure with the client's arm in the dependent position.
E. Keep the blood pressure cuff in the same position.
F. Obtain BP readings 10 minutes after the client changes position.
G. 20 mm Hg
Explanation: Orthostatic BP is measured supine (B), then sitting (C), then standing (A). The cuff should stay in the same position (E). A drop of 20 mm Hg systolic (G) or 10 mm Hg diastolic
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.
Related Questions