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 the cardiovascular system disorders and as an alternative to Quizlet.
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Question 1 of 50
1. Question
A nurse caring for a client in one room is told by another nurse that a second client has developed severe pulmonary edema. On entering the 2nd client’s room, the nurse would expect the client to be:
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Question 2 of 50
2. Question
A client with pulmonary edema has been on diuretic therapy. The client has an order for additional furosemide (Lasix) in the amount of 40 mg IV push. Knowing that the client also will be started on digoxin (Lanoxin), a nurse checks the client’s most recent:
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Question 3 of 50
3. Question
A client who had cardiac surgery 24 hours ago has a urine output averaging 19 ml/hr for 2 hours. The client received a single bolus of 500 ml of IV fluid. Urine output for the subsequent hour was 25 ml. Daily laboratory results indicate the blood urea nitrogen is 45 mg/dL and the serum creatinine is 2.2 mg/dL. A nurse interprets the client is at risk for:
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Question 4 of 50
4. Question
A nurse is preparing to ambulate a client on the 3rd day after cardiac surgery. The nurse would plan to do which of the following to enable the client to best tolerate the ambulation?
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Question 5 of 50
5. Question
A client’s electrocardiogram strip shows atrial and ventricular rates of 80 complexes per minute. The PR interval is 0.14 second, and the QRS complex measures 0.08 second. The nurse interprets this rhythm is:
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Question 6 of 50
6. Question
A client has frequent bursts of ventricular tachycardia on the cardiac monitor. A nurse is most concerned with this dysrhythmia because:
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Question 7 of 50
7. Question
A home care nurse is making a routine visit to a client receiving digoxin (Lanoxin) in the treatment of heart failure. The nurse would particularly assess the client for:
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Question 8 of 50
8. Question
A client with angina complains that the angina pain is prolonged and severe and occurs at the same time each day, most often in the morning, On further assessment a nurse notes that the pain occurs in the absence of precipitating factors. This type of anginal pain is best described as:
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Question 9 of 50
9. Question
The physician orders continuous intravenous nitroglycerin infusion for the client with MI. Essential nursing actions include which of the following?
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Question 10 of 50
10. Question
Aspirin is administered to the client experiencing an MI because of its:
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Question 11 of 50
11. Question
Which of the following is an expected outcome for a client on the second day of hospitalization after an MI?
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Question 12 of 50
12. Question
Which of the following reflects the principle on which a client’s diet will most likely be based during the acute phase of MI?
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Question 13 of 50
13. Question
An older, sedentary adult may not respond to emotional or physical stress as well as a younger individual because of:
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Question 14 of 50
14. Question
Which of the following nursing diagnoses would be appropriate for a client with heart failure? Select all that apply.
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Question 15 of 50
15. Question
Which of the following would be a priority nursing diagnosis for the client with heart failure and pulmonary edema?
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Question 16 of 50
16. Question
Captopril may be administered to a client with HF because it acts as a:
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Question 17 of 50
17. Question
Furosemide is administered intravenously to a client with HF. How soon after administration should the nurse begin to see evidence of the drug’s desired effect?
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Question 18 of 50
18. Question
Which of the following foods should the nurse teach a client with heart failure to avoid or limit when following a 2-gram sodium diet?
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Question 19 of 50
19. Question
The nurse finds the apical pulse below the 5th intercostal space. The nurse suspects:
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Question 20 of 50
20. Question
Which of the following arteries primarily feeds the anterior wall of the heart?
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Question 21 of 50
21. Question
The most important factor in regulating the caliber of blood vessels, which determines resistance to flow, is:
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Question 22 of 50
22. Question
With peripheral arterial insufficiency, leg pain during rest can be reduced by:
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Question 23 of 50
23. Question
Buerger’s disease is characterized by all of the following except:
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Question 24 of 50
24. Question
A significant cause of venous thrombosis is:
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Question 25 of 50
25. Question
When caring for a patient who has started anticoagulant therapy with warfarin (Coumadin), the nurse knows not to expect therapeutic benefits for:
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Question 26 of 50
26. Question
Mike, a 43-year old construction worker, has a history of hypertension. He smokes two packs of cigarettes a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. His current concern is calf pain during minimal exercise that decreased with rest. The nurse assesses Mike’s symptoms as being associated with peripheral arterial occlusive disease. The nursing diagnosis is probably:
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Question 27 of 50
27. Question
A 24-year old man seeks medical attention for complaints of claudication in the arch of the foot. A nurse also notes superficial thrombophlebitis of the lower leg. The nurse would next assess the client for:
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Question 28 of 50
28. Question
Intravenous 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?
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Question 29 of 50
29. Question
A client who has been receiving heparin therapy also is started on warfarin sodium (coumadin). The client asks the nurse why both medications are being administered. In formulating a response, the nurse incorporates the understanding that warfarin sodium:
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Question 30 of 50
30. Question
A nurse has the order to begin administering warfarin sodium (Coumadin) to a client. While implementing this order, the nurse ensures that which of the following medications is available on the nursing unit as the antidote for Coumadin?
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Question 31 of 50
31. Question
A nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets that the neurovascular status is:
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Question 32 of 50
32. Question
A client is admitted with a venous stasis leg ulcer. A nurse assesses the ulcer, expecting to note that the ulcer:
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Question 33 of 50
33. Question
In preparation for the discharge of a client with arterial insufficiency and Raynaud’s disease, client teaching instructions should include:
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Question 34 of 50
34. Question
A client comes to the outpatient clinic and tells the nurse that he has had leg pains that begin when he walks but cease when he stops walking. Which of the following conditions would the nurse assess for?
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Question 35 of 50
35. Question
Which of the following characteristics is typical of the pain associated with DVT?
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Question 36 of 50
36. Question
Cancer can cause changes in what component of Virchow’s triad?
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Question 37 of 50
37. Question
Varicose veins can cause changes in what component of Virchow’s triad?
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Question 38 of 50
38. Question
Which technique is considered the gold standard for diagnosing DVT?
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Question 39 of 50
39. Question
A nurse is assessing a client with an abdominal aortic aneurysm. Which of the following assessment findings by the nurse is probably unrelated to an aneurysm?
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Question 40 of 50
40. Question
A nurse is caring for a client who had a percutaneous insertion of an inferior vena cava filter and was on heparin therapy before surgery. The nurse would inspect the surgical site most closely for signs of:
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Question 41 of 50
41. Question
A 68-year-old woman is scheduled to undergo mitral valve replacement for severe mitral stenosis and mitral regurgitation. Although the diagnosis was made during childhood, she did not have any symptoms until 4 years ago. Recently, she noticed increased symptoms, despite daily doses of digoxin and furosemide. During the initial interview with the nice lady, the nurse would most likely learn that the client’s childhood health history included:
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Question 42 of 50
42. Question
Which of the following signs and symptoms would most likely be found in a client with mitral regurgitation?
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Question 43 of 50
43. Question
The nurse expects that a client with mitral stenosis would demonstrate symptoms associated with congestion in the:
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Question 44 of 50
44. Question
Because a client has mitral stenosis and is a prospective valve recipient, the nurse preoperatively assesses the client’s past compliance with medical regimens. Lack of compliance with which of the following regimens would pose the greatest health hazard to this client?
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Question 45 of 50
45. Question
Good dental care is an important measure in reducing the risk of endocarditis. A teaching plan to promote good dental care in a client with mitral stenosis should include a demonstration of the proper use of:
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Question 46 of 50
46. Question
A client has been admitted to the hospital with a diagnosis of suspected bacterial endocarditis. The complication the nurse will constantly observe for is:
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Question 47 of 50
47. Question
Cholesterol, frequently discussed in relation to atherosclerosis, is a substance that:
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Question 48 of 50
48. Question
When teaching a client with a cardiac problem, who is on a high-unsaturated fatty-acid diet, the nurse should stress the importance of increasing the intake of:
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Question 49 of 50
49. Question
A 2-gram sodium diet is prescribed for a client with severe hypertension. The client does not like the diet, and the nurse hears the client’s request that the spouse “Bring in some good home-cooked food.” It would be most effective for the nurse to plan to:
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Question 50 of 50
50. Question
What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor? Select all that apply.
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Nursing Test Bank: Free Practice QuestionsUPDATED! Are you ready to learn? Check out our updated nursing test bank that includes over 3,500 practice questions covering a wide range of nursing topics that are absolutely free!
NCLEX Questions Nursing Test Bank and ReviewUPDATED! For this nursing test bank, we have included more than 1,000+ NCLEX practice questions covering different nursing topics! We’ve made a significant effort to provide you with the most challenging questions along with insightful rationales for each question to reinforce learning.
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