Exam for RN Cardiovascular NCLEX Exam
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Question 1 of 5.
Which of the following statements by the client with atrial fibrillation would require a follow-up? Select all that apply.
A. I have an increased risk for a stroke.
B. I should weigh myself daily at the same time.
C. I may be prescribed medications such as amiodarone.
D. I should wear a mask when I am in public.
E. I should seek medical care if I develop shortness of breath.
Explanation: Atrial fibrillation increases stroke risk due to clot formation; no follow-up needed. B: Incorrect - Daily weighing is more relevant for heart failure, not atrial fibrillation; requires clarification. C: Correct - Amiodarone is a common medication for atrial fibrillation; no follow-up needed. D: Incorrect - Wearing a mask in public is not related to atrial fibrillation management; requires clarification. E: Correct - Shortness of breath could indicate complications; no follow-up needed.
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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