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WorksheetsNCLEX - CARDIOVASCULAR Day2 (Part 1)
Total questions: 15
Worksheet time: 8mins
Name
Class
Date
1.
The nurse is positioning clients before and after scheduled procedures. Follow-up would be required if the nurse places a client in which position?
a)
Fowler position after a cardiac catheterization via femoral entry
b)
Right side-lying position after a percutaneous liver biopsy
c)
Sims position before a soapsuds enema
d)
Supine position after a lumbar puncture
2.
When monitoring an infant with a left-to-right-sided heart shunt, which findings would the nurse expect during the physical assessment? Select all that apply.
a)
Clubbing of fingertips
b)
Cyanosis when crying
c)
Diaphoresis during feedings
d)
Heart murmur
e)
Poor weight gain
3.
A client with coronary artery disease and atrial fibrillation is being discharged home following coronary artery stent placement. Discharge medications are shown in the exhibit. The nurse identifies which educational topic as the priority for this client?
a)
Bleeding risk
b)
Bronchospasm
c)
Muscle injury
d)
Tinnitus
4.
The nurse is providing discharge teaching for a client who had coronary artery bypass grafting surgery using the great saphenous vein. Which of the following information should the nurse include? Select all that apply.
a)
Wash your incisions in the shower and gently pat dry.
b)
Increase your dietary intake of protein to promote healing.
c)
Avoid elevating your affected leg while in a seated position.
d)
Cleanse your incisions with hydrogen peroxide once weekly.
e)
Report redness, swelling, or increased drainage from your incisions.
5.
The nurse has taught a client who had an aortic valve replacement with a mechanical heart valve. Which of the following statements by the client would indicate a correct understanding of the teaching?
a)
I am going to continue taking my Ginkgo biloba.
b)
I can take ibuprofen as needed for incisional pain.
c)
I will increase my intake of green leafy vegetables.
d)
I will shave using an electric razor from now on.
6.
The nurse is caring for a client with chronic obstructive pulmonary disease and heart failure who is reporting severe dyspnea and a productive cough. Which of the following diagnostic tests would best determine if the client's current symptoms are related to acute decompensated heart failure?
a)
cardiac enzymes
b)
ABG analysis
c)
12-lead ECG
d)
BNP level
7.
The nurse is teaching a client who had a permanent pacemaker inserted 4 hours ago. Which of the following pieces of information should the nurse include? Select all that apply.
a)
Avoid placing your cell phone directly over the pacemaker.
b)
Discuss the pacemaker with health care providers before receiving an MRI.
c)
Inform airport security of the pacemaker when traveling.
d)
Perform daily range-of-motion exercises with your left arm and shoulder.
e)
Refrain from using microwave ovens and other small household appliances.
8.
During assessment of a client who underwent a coronary artery bypass graft 10 hours ago, the nurse notes that the amount of drainage from the mediastinal chest tube has decreased from 100 mL to 20 mL over the last hour. Which of the following nursing actions is appropriate?
a)
Auscultate the client's heart sounds
b)
Notify the client's health care provider
c)
Position the tubing with a dependent loop
d)
Strip the chest tube to remove possible clots
9.
When caring for a client with a left radial artery catheter, which assessment data obtained by the nurse indicates the need to take immediate action?
a)
Capillary refill of less than 2 seconds
b)
Left hand cooler than right
c)
Mean arterial pressure of 65 mm Hg
d)
Pressure bag at 300 mm Hg
10.
A nurse cares for a client after cardiac catheterization. During assessment of the groin site, the nurse notices that the dressing is saturated with blood and a small trickle leaks down the client's leg. What should the nurse do first?
a)
Apply direct manual pressure at and above the skin puncture site
b)
Call the health care provider to report active bleeding
c)
Check the peripheral pulse distal to the catheterization site
d)
Place a new pressure dressing over the catheterization site
11.
A client is being discharged after receiving an implantable cardioverter defibrillator. Which statement by the client indicates that teaching has been effective?
a)
I'm not worried about the device firing now because I know it won't hurt.
b)
I will let my daughter fix my hair until my health care provider says I can do it.
c)
I will look into public transportation because I won't be able to drive again.
d)
I will notify my travel agent that I can no longer travel by plane.
12.
Which interventions should the nurse include when caring for a client who has had endovascular repair of an abdominal aortic aneurysm? Select all that apply
a)
Assess abdominal incision every 4 hours
b)
Check for bleeding at groin puncture sites
c)
Measure chest tube drainage
d)
Monitor fluid intake and urine output
e)
Palpate and monitor peripheral pulses
13.
The nurse in the emergency department is caring for a client who is experiencing an acute aortic dissection. It would be a priority for the nurse to
a)
administer IV antibiotic therapy
b)
administer IV beta blocker therapy
c)
insert an indwelling urinary catheter
d)
provide adequate pain management
14.
The nurse is teaching a client who is scheduled to have an inferior vena cava filter inserted via the right femoral vein. Which statement by the client requires further teaching?
a)
I need to make all health care providers aware of my filter before I have body scans.
b)
I need to stay active and avoid crossing my legs for extended periods when I get home.
c)
I should call the health care provider if I develop numbness, tingling, and swelling in my right leg.
d)
It is normal to have some chest or back discomfort for a few days after filter placement.
15.
The nurse is assisting during a scheduled cardioversion for a client who is experiencing supraventricular tachycardia. It would require follow-up if the nurse
a)
Administers a one-time dose of IV midazolam
b)
Removes the oxygen tank from the client's bed
c)
Turns off the synchronizer switch on the defibrillator
d)
Places the defibrillator pads on the upper right and lower left chest
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