NCLEX quiz cardiac

A client who had a stroke 1 month ago presents with an acute MI. The nurse recognizes which statement as correct regarding the administration of thrombolytic therapy to this client? A. Absolute contraindication for administration of this therapy B. No effect on administration of this therapy CIncreased risk for an extension of the current MI D Relative contraindication to administration of this therapy

A

A client with myocardial ischemia is having frequent early, wide ventricular complexes seen on the cardiac monitor. Which medication does the nurse administer? A Amiodarone (Cordarone) BDobutamine (Dobutamine) C Lanoxin (Digoxin) D Atropine sulfate (Atropisol)

A

The client is undergoing progressive ambulation on the third day after a myocardial infarction. Which clinical manifestation would indicate to the nurse that the client should not yet be advanced to the next level? A Onset of chest pain B Systolic blood pressure increase of 10 mm Hg at completion of ambulation C Heart rate increase of 10 beats/min at completion of ambulation D Facial flushing

A

The health care provider is planning to treat a client who has symptomatic, third-degree heart block following cardiac surgery with temporary pacing. Which type of pacing would be most appropriate for this client? A. Asynchronous pacing B. Synchronous pacing C. Universal pacing D. Global pacing

A

The nurse assesses a client who has received thrombolytic therapy after having a myocardial infarction. Which clinical manifestation indicates to the nurse that reperfusion has been successful? A.Onset of ventricular dysrhythmias B.Cessation of diaphoresis C.Sudden onset of pleuritic chest pain D.ST-segment depression

A

The nurse evaluates diagnostic results for a client who has chest pain. Which laboratory test is most specific for acute coronary syndromes? A Troponin markers B Creatine kinase (CK)-MB isoenzyme C Serum myoglobin D Serum lactate dehydrogenase (LDH)

A

The nurses correlates which clinical manifestations with a diagnosis of variant (Prinzmetal's) angina? A Chest pain occurring with minimal exertion that limits the client's activity B A burning sensation in the chest wall that is relieved with rest C. Chest discomfort that appears with exertion and is relieved with nitroglycerin D. Chest pressure or tightness that radiates to the arm and jaw

A

Which statement made by the client with coronary artery disease alerts the nurse that the client may be experiencing difficulty in adapting to the illness? A "I usually wait about 2 hours after I feel chest discomfort before calling my doctor to be sure it is really angina." B "I know I will have some chest discomfort with some activities, so I carry my nitroglycerin with me." C "When I was in the hospital last time for my heart attack, I felt afraid." D "I feel a little anxious whenever I get chest discomfort."

A

The nurse is providing discharge instructions for a client with an implantable cardioverter-defibrillator (ICD). What statement by the client indicates a good understanding of the instructions? A "I can't perform activities that increase my heart rate." B "Now I can discontinue my antidysrhythmic medication." C"I should wear a snug-fitting shirt over the ICD." D "I will avoid sources of strong electromagnetic fields."

D

A client's cardiac status is being observed by telemetry monitoring. The nurse observes a P wave that changes shape in lead II. What conclusion does the nurse make about the P wave? A It is from the sinoatrial (SA) node. BIt originates from an ectopic focus. C The P wave was replaced by U waves. D Multiple P waves are present.

B

The nurse is assessing an older adult client who is experiencing a myocardial infarction. What clinical manifestation does the nurse expect in this client? A Excruciating pain on inspiration BLeft lateral chest wall pain CDisorientation and confusion D Numbness and tingling of the arm

C

The nurse is preparing to defibrillate the patient in VF. After placing the paddles on the patient's chest and before discharging them, which of the following should be done? A Administer lidocaine hydrochloride B Ensure that the patient has been intubated C Confirm that the rhythm is actually ventricular fibrillation D Set the defibrillator to the "synchronize" mode

C

To ensure safety while administering a nitroglycerine patch, the nurse should: A Shave the area where the patch will be applied. B Apply the patch to the buttocks. CWear gloves while applying the patch. D Wash the area thoroughly with soap and rinse with hot water.

C

What is the nurse's interpretation of a negatively deflected wide Q wave on the ECG of the client undergoing preadmission testing for surgery? AThe client's atria are enlarged and failing. B The client is experiencing angina. C The client has had a myocardial infarction in the past. DThe client's ECG pattern is a common variation of normal sinus rhythm.

C

Which statement by the client ordered sublingual nitroglycerin for chest pain indicates a need for further teaching regarding this therapy? A "When my nitroglycerin tablet tingles under my tongue, I know that it is strong enough to work." B"If I still have chest pain after I have taken three nitroglycerin tablets, I will go to the hospital." C"I keep my medicine in a clear plastic bag in my purse so that I can get to it easily if I have chest pain." D "Even if I have not used any of the nitroglycerin from one refill, I get another refill every 3 months."

C

When reviewing a client's laboratory results, which findings alert the nurse to the possibility of atherosclerosis? (Select all that apply.) A. High-density cholesterol of 50 mg/dL B. Serum albumin of 4 g/dL C.Low-density cholesterol of 160 mg/dL DTotal cholesterol of 280 mg/dL E. Triglycerides of 200 mg/dL

CDE

A female client is admitted to the emergency department. Which symptoms cause the nurse to order an electrocardiogram? (Select all that apply.) Feeling of choking Indigestion Abdominal pain Hypertension Shortness of breath Fatigue despite adequate rest Abdominal fullness

FEELING OF CHOKING INDIGESTION SOB FATIGUE ABDOMINAL FULLNESS

A client in the intensive care unit is being hemodynamically monitored. The right atrial pressure is low. What does this value indicate? a Normal function bRight ventricular failure c Hypovolemia d Mitral regurgitation

c

A client's heart disease has resulted in a reduction of stroke volume. Which compensatory mechanism is expected? A. Decreased respiratory rate B.Decreased mean arterial pressure C.Increased blood pressure D. Increased heart rate

increased Heart Rate