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NCLEX RN· RN Cardiovascular · Exam for RN Cardiovascular NCLEX Exam

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 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

Expert Explanatory Rationale

Correct Answer: Observe for signs of bleeding

Question 2 of 5

Which of the following statements correctly outlines the proper flow of blood through the heart?

A. Superior and Inferior vena cavas â†’ Right atrium â†’ Tricuspid valve â†’ Right ventricle â†’ Pulmonary valve â†’ Pulmonary artery â†’ Lungs â†’ Pulmonary veins â†’ Left atrium â†’ Mitral valve â†’ Left ventricle â†’ Aortic valve â†’ Aorta â†’ Systemic circulation

B. Superior and Inferior vena cavas â†’ Right atrium â†’ Mitral valve â†’ Right ventricle â†’ Pulmonary valve â†’ Pulmonary artery â†’ Lungs â†’ Pulmonary veins â†’ Left atrium â†’ Tricuspid valve â†’ Left ventricle â†’ Aortic valve â†’ Aorta â†’ Systemic circulation

C. Superior and Inferior vena cavas â†’ Right atrium â†’ Tricuspid valve â†’ Right ventricle â†’ Pulmonary valve â†’ Pulmonary veins â†’ Lungs â†’ Pulmonary artery â†’ Left atrium â†’ Mitral valve â†’ Left ventricle â†’ Aortic valve â†’ Aorta â†’ Systemic circulation

D. Superior and Inferior vena cavas â†’ Right atrium â†’ Tricuspid valve â†’ Right ventricle â†’ Aortic valve â†’ Pulmonary veins â†’ Lungs â†’ Pulmonary artery â†’ Left atrium â†’ Mitral valve â†’ Left ventricle â†’ Pulmonary valve â†’ Aorta â†’ Systemic circulation

Expert Explanatory Rationale

Correct Answer: Superior and Inferior vena cavas â†’ Right atrium â†’ Tricuspid valve â†’ Right ventricle â†’ Pulmonary valve â†’ Pulmonary artery â†’ Lungs â†’ Pulmonary veins â†’ Left atrium â†’ Mitral valve â†’ Left ventricle â†’ Aortic valve â†’ Aorta â†’ Systemic circulation

Question 3 of 5

The nurse is assessing a client's cardiac rhythm strip and notices that it is irregular without any P waves before the QRS complexes. The nurse should interpret this as

A. sinus tachycardia.

B. sinus bradycardia.

C. normal sinus rhythm with premature ventricular contractions (PVC).

D. atrial fibrillation

Expert Explanatory Rationale

Correct Answer: atrial fibrillation

Question 4 of 5

The nurse cares for a client with suspected congestive heart failure (CHF). 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. Complete Metabolic Profile (CMP)

D. C-Reactive Protein (CRP)

Expert Explanatory Rationale

Correct Answer: B-type natriuretic peptide (BNP)

Question 5 of 5

The nurse is caring for a client with atrial fibrillation. Which of the following client findings requires immediate follow-up by the nurse?

A. Irregular QRS complexes on telemetry reading

B. Irregular peripheral pulse

C. Reports of intermittent palpitations

D. Blurred vision

Expert Explanatory Rationale

Correct Answer: Blurred vision

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