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NCLEX Based 1000 MCQs Part-2

This document contains 20 multiple choice questions about nursing care related to the cardiovascular system. For each question there are 4 possible answer choices listed with one answer marked as the "High Target Point." The questions cover topics like monitoring a client receiving a pulmonary artery catheter, signs of electrolyte depletion in a client on diuretics, ECG changes in a client with a bundle branch block, and responsibilities during a code situation involving ventricular fibrillation.

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Akash
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2K views12 pages

NCLEX Based 1000 MCQs Part-2

This document contains 20 multiple choice questions about nursing care related to the cardiovascular system. For each question there are 4 possible answer choices listed with one answer marked as the "High Target Point." The questions cover topics like monitoring a client receiving a pulmonary artery catheter, signs of electrolyte depletion in a client on diuretics, ECG changes in a client with a bundle branch block, and responsibilities during a code situation involving ventricular fibrillation.

Uploaded by

Akash
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NCLEX BASED 1000 MCQs

For All Nursing Competitive Exams


100% Success
Part-2
11. A nurse prepares a client for insertion of a pulmonary artery catheter.
What information can be obtained from monitoring the pulmonary artery
pressure?

1. Stroke volume

2. Venous pressure

3. Coronary artery patency


High Target
4. Left ventricular functioning Point
12. What specifically should the nurse monitor when a client is
receiving a platelet aggregation inhibitor such as clopidogrel (Plavix)?

1. Nausea

2. Epistaxis

3. Chest pain

4. Elevated temperature High Target


Point
13. A client is receiving warfarin (Coumadin). Which test result should the
nurse use to determine if the daily dose of this anticoagulant is
therapeutic?

1. INR

2. APTT

3. Bleeding time

High Target
4. Sedimentation rate Point
14. A nurse identifies signs of electrolyte depletion in a client with heart
failure who is receiving bumetanide (Bumex) and digoxin (Lanoxin). What
does the nurse determine is the cause of the depletion?

1. Diuretic therapy

2. Sodium restriction

3. Continuous dyspnea

High Target
4. Inadequate oral intake Point
15. What clinical indicator is the nurse most likely to identify when
completing a history and physical assessment of a client with complete
heart block?

1. Syncope

2. Headache

3. Tachycardia
High Target
4. Hemiparesis Point
16. A nurse in the emergency department is assigned to care for four
clients with serious health problems. Which health problem should the
nurse identify as the priority?

1. Head injury

2. Fractured femur

3. Ventricular fibrillation
High Target
4. Penetrating abdominal wound Point
17. A client with a bundle branch block is on a cardiac monitor. What ECG
change should the nurse identify on the client’s cardiac monitor?

1. Sagging ST segments

2. Absence of P wave configurations

3. Inverted T waves following each QRS complex


High Target
4. Widening of QRS complexes to a minimum of 0.12 second Point
18. In addition to atrial fibrillation, what ventricular rhythm exhibited by a
client does the nurse determine may be converted to a sinus rhythm by
cardioversion?

1. Standstill

2. Fibrillation

3. Tachycardia with a pulse

4. Frequent premature complexes High Target


Point
19. What assessment of the pulse should the nurse identify when a client’s
on-demand pacemaker is functioning effectively?

1. Regular rhythm

2. Palpable at all pulse sites

3. At least at the demand rate

High Target
4. Equal to the pacemaker setting Point
20. When a client develops ventricular fibrillation in a coronary care unit,
what is the responsibility of the first person reaching the client?

1. Administer oxygen.

2. Initiate defibrillation.

3. Initiate cardiopulmonary resuscitation.

4. Administer sodium bicarbonate intravenously. High Target


Point
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