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NCLEX RN· RN Cardiovascular · NCLEX RN Cardiovascular Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse has instructed a client with hyperlipidemia about self-management. Which statement by the client would require follow-up by the nurse?

A. I should replace hydrogenated vegetable oils with canola oil when cooking.

B. I should increase my intake of fish like tuna and salmon more often.

C. Increasing my fiber intake will help lower my cholesterol.

D. I am glad that I won't need to reduce red meat from my diet.

Expert Explanatory Rationale

Correct Answer: I am glad that I won't need to reduce red meat from my diet.

Question 2 of 5

A 45-year-old client is admitted to the medical telemetry unit to observe for possible dysrhythmias. After waking in the morning, the client asks the nurse for coffee. Which of the following would be the best response by the nurse?

A. Hot beverages are not allowed because of the condition of your heart.

B. Coffee is not included in your diet ordered by your health care provider (HCP).

C. We don't have coffee on the unit. I can bring you some tea if you would like.

D. Currently, you cannot have coffee as it contains caffeine, which can adversely affect your heart.

Expert Explanatory Rationale

Correct Answer: Currently, you cannot have coffee as it contains caffeine, which can adversely affect your heart.

Question 3 of 5

The nurse has instructed a client who is scheduled to have a carotid ultrasound. Which of the following statements by the client would require follow up?

A. I plan to eat a light meal before the ultrasound.

B. I will remove any jewelry or metal objects from my neck before the procedure.

C. I understand that the ultrasound will use sound waves to create images of my carotid arteries.

D. I should fast for at least 8 hours before the ultrasound.

Expert Explanatory Rationale

Correct Answer: I should fast for at least 8 hours before the ultrasound.

Question 4 of 5

The nurse in the medical-surgical unit is observing the telemetry monitor for assigned clients. Which client condition change requires immediate notification to the primary healthcare provider (PHCP)? A client

A. with normal sinus rhythm (NSR), who has had three premature ventricular contractions (PVCs) in the past hour.

B. recovering from cardiac catheterization and has had two brief runs of ventricular tachycardia (VT).

C. with atrial fibrillation, whose heart rate decreased from 113 to 95 beats per minute.

D. who has developed sinus tachycardia (ST) following the application of nitroglycerin paste.

Expert Explanatory Rationale

Correct Answer: recovering from cardiac catheterization and has had two brief runs of ventricular tachycardia (VT).

Question 5 of 5

The nurse is caring for a client with the below tracing on the electrocardiogram (ECG). The nurse should anticipate which prescription from the primary healthcare provider (PHCP)?

A. captopril

B. atropine

C. adenosine

D. diltiazem

Expert Explanatory Rationale

Correct Answer: atropine

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