Welcome to your NCLEX reviewer and practice questions quiz for cardiovascular system disorders. This NCLEX nursing test bank tests your competence in the nursing care and management of patients with dysrhythmias, hematological disorders, hypertension, coronary artery disease, myocardial infarction, heart failure, and peripheral vascular diseases.
Cardiac Disorders Nursing Test Bank
Here are the NCLEX practice questions for cardiovascular system disorders. This nursing test bank set includes 220 NCLEX-style practice questions that cover topics like dysrhythmias, EKG interpretation, heart failure, myocardial infarction, hematologic disorders, and more. Use these questions to help you review for cardiovascular system disorders and as an alternative to Quizlet.
All questions on this set are updated to give you the most challenging questions, along with insightful rationales to reinforce learning.
Quizzes included in this guide are:
- Dysrhythmias & EKG Interpretation NCLEX Practice | Quiz #1: 20 Questions
- Hematologic Disorders and Anemia NCLEX Practice | Quiz #2: 50 Questions
- Hypertension & Coronary Artery Disease NCLEX Practice | Quiz #3: 50 Questions
- Heart Failure & Valvular Diseases NCLEX Practice | Quiz #4: 50 Questions
- Myocardial Infarction & Peripheral Vascular Diseases NCLEX Practice | Quiz #5: 50 Questions
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- Comprehend each item. Read and understand each question before choosing the best answer. The exam has no time limit so that you can make sense of each item at your own pace.
- Review your answers. Once you’re done with all the questions, you’ll be redirected to the Quiz Summary table, where you’ll be able to review which questions you’ve answered or may have skipped. Review your answers once more before pressing the Finish Quiz button.
- Read the rationales. After you have reviewed your answers, click on the Finish Quiz button to record your answers and show your score. Click on the View Questions button to review the quiz and read through the rationales for each question.
- Let us know your feedback! Comment us your thoughts, scores, ratings, and questions about the quiz in the comments section below.
Hypertension & Coronary Artery Disease NCLEX Practice | Quiz #3: 50 Questions
Welcome to the third set of NCLEX practice questions for cardiovascular disorders. In this set, test your knowledge about hypertension and coronary artery disease.
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Where are the rationales? Please click the View Questions button below to review your answers and read through the rationales for each question.
Question 1 of 50
A client is scheduled for a cardiac catheterization using a radiopaque dye. Which of the following assessments is most critical before the procedure?CorrectIncorrect
Question 2 of 50
A client with no history of cardiovascular disease comes into the ambulatory clinic with flu-like symptoms. The client suddenly complains of chest pain. Which of the following questions would best help a nurse to discriminate pain caused by a non-cardiac problem?CorrectIncorrect
Question 3 of 50
A client with myocardial infarction has been transferred from a coronary care unit to a general medical unit with cardiac monitoring via telemetry. A nurse plans to allow for which of the following client activities?CorrectIncorrect
Question 4 of 50
A nurse notes 2+ bilateral edema in the lower extremities of a client with myocardial infarction who was admitted two (2) days ago. The nurse would plan to do which of the following next?CorrectIncorrect
Question 5 of 50
A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no electrocardiogram complexes on the screen. The first action of the nurse is to:CorrectIncorrect
Question 6 of 50
A nurse is assessing the blood pressure of a client diagnosed with primary hypertension. The nurse ensures accurate measurement by avoiding which of the following?CorrectIncorrect
Question 7 of 50
IV heparin therapy is ordered for a client. While implementing this order, a nurse ensures that which of the following medications is available in the nursing unit?CorrectIncorrect
Question 8 of 50
A client is at risk for pulmonary embolism and is on anticoagulant therapy with warfarin (Coumadin). The client’s prothrombin time is 20 seconds, with a control of 11 seconds. The nurse assesses that this result is:CorrectIncorrect
Question 9 of 50
A client who has been receiving heparin therapy also is started on warfarin. The client asks a nurse why both medications are being administered. In formulating a response, the nurse incorporates the understanding that warfarin:CorrectIncorrect
Question 10 of 50
A 60-year-old male client comes into the emergency department with complaints of crushing chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction. Immediate admission orders include oxygen by NC at 4L/minute, blood work, chest X-ray, an ECG, and two (2) mg of morphine given intravenously. The nurse should first:CorrectIncorrect
Question 11 of 50
When administered a thrombolytic drug to the client experiencing an MI, the nurse explains to him that the purpose of this drug is to:CorrectIncorrect
Question 12 of 50
When interpreting an ECG, the nurse would keep in mind which of the following about the P wave? Select all that apply.CorrectIncorrect
Question 13 of 50
A client has driven himself to the ER. He is 50 years old, has a history of hypertension, and informs the nurse that his father died of a heart attack at 60 years of age. The client is presently complaining of indigestion. The nurse connects him to an ECG monitor and begins administering oxygen at 2 L/minute per NC. The nurse’s next action would be to:CorrectIncorrect
Question 14 of 50
The nurse receives emergency laboratory results for a client with chest pain and immediately informs the physician. An increased myoglobin level suggests which of the following?CorrectIncorrect
Question 15 of 50
When teaching a client about propranolol hydrochloride, the nurse should base the information on the knowledge that propranolol hydrochloride:CorrectIncorrect
Question 16 of 50
The most important long-term goal for a client with hypertension would be to:CorrectIncorrect
Question 17 of 50
Hypertension is known as the silent killer. This phrase is associated with the fact that hypertension often goes undetected until symptoms of other system failures occur. This may occur in the form of:CorrectIncorrect
Question 18 of 50
During the previous few months, a 56-year-old woman felt brief twinges of chest pain while working in her garden and has had frequent episodes of indigestion. She comes to the hospital after experiencing severe anterior chest pain while raking leaves. Her evaluation confirms a diagnosis of stable angina pectoris. After stabilization and treatment, the client is discharged from the hospital. At her follow-up appointment, she is discouraged because she is experiencing pain with increasing frequency. She states that she is visiting an invalid friend twice a week and now cannot walk up the second flight of steps to the friend’s apartment without pain. Which of the following measures that the nurse could suggest would most likely help the client deal with this problem?CorrectIncorrect
Question 19 of 50
Which of the following symptoms should the nurse teach the client with unstable angina to report immediately to her physician?CorrectIncorrect
Question 20 of 50
The physician refers the client with unstable angina for a cardiac catheterization. The nurse explains to the client that this procedure is being used in this specific case to:CorrectIncorrect
Question 21 of 50
As an initial step in treating a client with angina, the physician prescribes nitroglycerin tablets, 0.3mg given sublingually. This drug’s principal effects are produced by:CorrectIncorrect
Question 22 of 50
The nurse teaches the client with angina about the common expected side effects of nitroglycerin, including:CorrectIncorrect
Question 23 of 50
Sublingual nitroglycerin tablets begin to work within 1 to 2 minutes. How should the nurse instruct the client to use the drug when chest pain occurs?CorrectIncorrect
Question 24 of 50
Which of the following arteries primarily feeds the anterior wall of the heart?CorrectIncorrect
Question 25 of 50
When do coronary arteries primarily receive blood flow?CorrectIncorrect
Question 26 of 50
Prolonged occlusion of the right coronary artery produces an infarction in which of the following areas of the heart?CorrectIncorrect
Question 27 of 50
A murmur is heard at the second left intercostal space along the left sternal border. Which valve is this?CorrectIncorrect
Question 28 of 50
Which of the following blood tests is most indicative of cardiac damage?CorrectIncorrect
Question 29 of 50
Which of the following diagnostic tools is most commonly used to determine the location of myocardial damage?CorrectIncorrect
Question 30 of 50
Which of the following types of pain is most characteristic of angina?CorrectIncorrect
Question 31 of 50
Which of the following parameters is the major determinant of diastolic blood pressure?CorrectIncorrect
Question 32 of 50
Which of the following factors can cause blood pressure to drop to normal levels?CorrectIncorrect
Question 33 of 50
Baroreceptors in the carotid artery walls and aorta respond to which of the following conditions?CorrectIncorrect
Question 34 of 50
Which of the following terms describes the force against which the ventricle must expel blood?CorrectIncorrect
Question 35 of 50
Which of the following terms is used to describe the amount of stretch on the myocardium at the end of diastole?CorrectIncorrect
Question 36 of 50
A 57-year-old client with a history of asthma is prescribed propranolol (Inderal) to control hypertension. Before administered propranolol, which of the following actions should the nurse take first?CorrectIncorrect
Question 37 of 50
One hour after administering IV furosemide (Lasix) to a client with heart failure, a short burst of ventricular tachycardia appears on the cardiac monitor. Which of the following electrolyte imbalances should the nurse suspect?CorrectIncorrect
Question 38 of 50
A client is receiving spironolactone to treat hypertension. Which of the following instructions should the nurse provide?CorrectIncorrect
Question 39 of 50
When assessing an ECG, the nurse knows that the P-R interval represents the time it takes for the:CorrectIncorrect
Question 40 of 50
Following a treadmill test and cardiac catheterization, the client is found to have coronary artery disease, which is inoperative. He is referred to the cardiac rehabilitation unit. During his first visit to the unit he says that he doesn’t understand why he needs to be there because there is nothing that can be done to make him better. The best nursing response is:CorrectIncorrect
Question 41 of 50
To evaluate a client’s condition following cardiac catheterization, the nurse will palpate the pulse:CorrectIncorrect
Question 42 of 50
A client’s physician orders nuclear cardiography and makes an appointment for a thallium scan. The purpose of injecting radioisotope into the bloodstream is to detect:CorrectIncorrect
Question 43 of 50
A client enters the ER complaining of severe chest pain. A myocardial infarction is suspected. A 12 lead ECG appears normal, but the doctor admits the client for further testing until cardiac enzyme studies are returned. All of the following will be included in the nursing care plan. Which activity has the highest priority?CorrectIncorrect
Question 44 of 50
A client is experiencing tachycardia. The nurse’s understanding of the physiological basis for this symptom is explained by which of the following statements?CorrectIncorrect
Question 45 of 50
A client enters the ER complaining of chest pressure and severe epigastric distress. His VS are 158/90, 94, 24, and 99*F. The doctor orders cardiac enzymes. If the client were diagnosed with an MI, the nurse would expect which cardiac enzyme to rise within the next 3 to 8 hours?CorrectIncorrect
Question 46 of 50
A 45-year-old male client with leg ulcers and arterial insufficiency is admitted to the hospital. The nurse understands that leg ulcers of this nature are usually caused by:CorrectIncorrect
Question 47 of 50
Which of the following instructions should be included in the discharge teaching for a patient discharged with a transdermal nitroglycerin patch?CorrectIncorrect
Question 48 of 50
In order to prevent the development of tolerance, the nurse instructs the patient to:CorrectIncorrect
Question 49 of 50
Direct-acting vasodilators have which of the following effects on the heart rate?CorrectIncorrect
Question 50 of 50
When teaching a patient why spironolactone (Aldactone) and furosemide (Lasix) are prescribed together, the nurse bases teaching on the knowledge that:CorrectIncorrect
Recommended books and resources for your NCLEX success:
Saunders Comprehensive Review for the NCLEX-RN
Saunders Comprehensive Review for the NCLEX-RN Examination is often referred to as the best nursing exam review book ever. More than 5,700 practice questions are available in the text. Detailed test-taking strategies are provided for each question, with hints for analyzing and uncovering the correct answer option.
Strategies for Student Success on the Next Generation NCLEX® (NGN) Test Items
Next Generation NCLEX®-style practice questions of all types are illustrated through stand-alone case studies and unfolding case studies. NCSBN Clinical Judgment Measurement Model (NCJMM) is included throughout with case scenarios that integrate the six clinical judgment cognitive skills.
Saunders Q & A Review for the NCLEX-RN® Examination
This edition contains over 6,000 practice questions with each question containing a test-taking strategy and justifications for correct and incorrect answers to enhance review. Questions are organized according to the most recent NCLEX-RN test blueprint Client Needs and Integrated Processes. Questions are written at higher cognitive levels (applying, analyzing, synthesizing, evaluating, and creating) than those on the test itself.
NCLEX-RN Prep Plus by Kaplan
The NCLEX-RN Prep Plus from Kaplan employs expert critical thinking techniques and targeted sample questions. This edition identifies seven types of NGN questions and explains in detail how to approach and answer each type. In addition, it provides 10 critical thinking pathways for analyzing exam questions.
Illustrated Study Guide for the NCLEX-RN® Exam
The 10th edition of the Illustrated Study Guide for the NCLEX-RN Exam, 10th Edition. This study guide gives you a robust, visual, less-intimidating way to remember key facts. 2,500 review questions are now included on the Evolve companion website. 25 additional illustrations and mnemonics make the book more appealing than ever.
NCLEX RN Examination Prep Flashcards (2023 Edition)
NCLEX RN Exam Review FlashCards Study Guide with Practice Test Questions [Full-Color Cards] from Test Prep Books. These flashcards are ready for use, allowing you to begin studying immediately. Each flash card is color-coded for easy subject identification.
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26 thoughts on “Cardiovascular Disorders NCLEX Practice Questions (220 Questions)”
Hi, thank you for these practice NCLEX styled questions! I am currently taking the “Hypertension & Coronary Artery Disease NCLEX Practice Exam #3” and one of the rationale boxes for both the incorrect and correct answers does not seem to correlate with the question nor the answer choices. The question was asking about the most important long term goal for a hypertensive patient. I was wondering is there any way to trouble shoot this so I could receive the correlating rationales? Thank you.
Hi Kat, this has been corrected. Thank you for letting us know :) Good luck!
Thank you for letting me to do this exam I hope to do very well
Thank u so much for your help.. Stay safe, healthy and happy!😊
Thanks a lot i learned many thing it is helpful for us
Hi Matt! I am very thankful for your help. God bless and may the good Lord continue to shower you with more blessings for your generosity.
These practice tests would help me pass the NCLEX exam.
Thank you so much Matt! These practice tests have been very helpful!
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I play with this every now and then until I finally could come out with this score, am so… looking forward to one day becoming a RN. Thanks for this educative platform
Question 18 about a 56 year old lady having chest pains while climbing stairs to her friend’s house. Some other classmates and I agree that she should probably not take a nitro tablet right before climbing the stairs because she could have a significant drop in BP, get dizzy, and fall down the stairs. We are instructed to always educate the patient to sit down before taking a nitro tablet for safety and to take caution when standing after. Other than that question, these are great and go along with my current nursing exam.
Thanks for letting me do these questions
Thank you for sharing these mind juggling practice questions. I’m preparing for the NCLEX and I use this platform to gauge my understanding in various topics.
Only God almighty will reward you for this good work. Thank you! thank you!! Thank you!!! Only God knows how much you impacted positively in my study life 😭
Very challenge but good since one is forced to think critically.
I love this site. It’s intuitive and helps provide great challenging questions with in-depth rationales. That I, as a nurse educator, love reading! Great job!
Thanks so much for your kind words, Jesi!
For question no 48, I think Cardiac tamponade includes jugular vein distention decreased urine output, not increased urine output as indicated in your answers. Can you please, revisit question no 48 and give more clarification on the answers? Thank you so much. I have learned a lot in this chapter. -Nonye.
Hi Nonye, thanks for bringing this up. I have corrected the choices. Thanks again!
Question 26 on exam 4:
Correct Answer: B. Hypertrophic
Cardiac output isn’t affected by hypertrophic cardiomyopathy because the size of the ventricle remains relatively unchanged.
I thought hypertrophic cardiomyopathy leads to decreased filling (diastolic failure) which would then result in decreased stroke volume and thus decreased cardiac output?
Aspirin is an Antiplatelet drug.
Thank you so much for this!! I appreciate it so much, especially the detailed rationales. Also, I just want to note that I don’t think the Schilling test is used anymore for question 9 and 10? Just in case you want to update, but I might be wrong. Much love!!
Hello, Nitroglycerin administer during MI attack pattern is changed.
I love practicing on the questions above and the rational is completely understand.
We were taught to call for help/call code then initate CPR if we are the first person for V. Fib and someone else would bring the AED. Is that just a nursing school thing?
This question below i disagree with answer to start defib. you iniate cpr first not defib’ing the client
When ventricular fibrillation occurs in a CCU, the first person reaching the client should: