Nclex-Rn Practice Questions-Cardiovascular Disorders-Angina-Myocardial Infarction
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Question 1 |
While the nurse is ambulating the client diagnosed with angina to the bathroom, the client begins to complain of chest pain radiating to the left arm. Which intervention should the nurse implement first?
A | Administer a nitroglycerin tablet sublingually. |
B | Return the client to bed and tell client to lie in the bed. |
C | Place oxygen on the client via nasal cannula. |
D | Request a stat electrocardiogram (ECG). |
Question 2 |
The client comes to the emergency department complaining of chest pain. Which comment by the client would indicate to the nurse the client is experiencing angina instead of a myocardial infarction?
A | “I was resting in my recliner when my chest started hurting.” |
B | “I was mowing my lawn when I started having chest pain.” |
C | “I started having chest pain when I took a deep breath.” |
D | “My heart started pounding in my chest and then I felt pain.” |
Question 3 |
The HCP has prescribed thrombolytic therapy for the client diagnosed with a myocardial infarction. Which data indicate the medication is effective?
A | The client's cardiac enzymes decrease. |
B | The client's chest pain is relieved. |
C | The client exhibits reperfusion dysrhythmias. |
D | The client's blood pressure is within normal limits. |
Question 4 |
The charge nurse is observing a licensed practical nurse (LPN) applying a nitroglycerin patch to the client diagnosed with angina. Which action warrants immediate intervention from the charge nurse?
A | The LPN places the nitroglycerin patch on a non-hairy area. |
B | The LPN dates and times the nitroglycerin patch. |
C | The LPN wears gloves when applying the nitroglycerin patch. |
D | The LPN applies the new patch while leaving the old patch in place. |
Question 5 |
The intensive care nurse is caring for a client diagnosed with a myocardial infarction. Which intervention should the nurse implement?
A | Monitor the client's urine output every shift. |
B | Keep the head of the client's bed flat. |
C | Assess the client's breath sounds every 2 hours. |
D | Discourage the client from deep breathing. |
Question 6 |
The nurse is caring for a client who was diagnosed with a myocardial infarction 24 hours ago. The client has developed an audible S3 heart sound. Which action should the nurse implement first?
A | Notify the health-care provider (HCP) immediately. |
B | Document the finding in the client's chart. |
C | Assess the client's blood pressure. |
D | Check the client's telemetry reading. |
Question 7 |
Which statement indicates the client diagnosed with angina needs more discharge teaching?
A | “I will keep my nitroglycerin in a dark bottle at all times.” |
B | “I should stay on a low-fat, low-cholesterol diet.” |
C | “I will not walk outside if it is colder than 40°F.” |
D | “I should perform isometric exercises three times a week.” |
Question 8 |
The charge nurse is making assignments for clients on a medical unit. Which client should the charge nurse assign to the recent graduate nurse?
A | The client diagnosed with angina whose pain is unrelieved with nitroglycerin. |
B | The client who is scheduled for a left-sided cardiac catheterization. |
C | The client with a myocardial infarction whose pulse oximeter reading is 90%. |
D | The client diagnosed with heart disease who needs discharge teaching. |
Question 9 |
The nurse is caring for a client diagnosed with a myocardial infarction. Which assessment data would warrant immediate attention by the nurse?
A | The client has a urinary output of 120 mL in 2 hours. |
B | The client's telemetry shows multifocal premature ventricular contractions (PVCs). |
C | The client's bilateral anterior and posterior breath sounds are clear. |
D | The client's cardiac enzymes and white blood cells are elevated. |
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