NCLEX Review about Cardiac Nursing (36-40)

NCLEX Review about Cardiac Nursing

36. The following are manifestations of left-sided congestive heart failure. Select all that apply

a) hypertension
b) dependent edema
c) hypokalemia
d) paroxysmal nocturnal dyspnea
e) non-productive cough
f) pink-tinged, frothy sputum
g) ascites

37. Which of the following health teachings should be included when caring for a client with angina pectoris?

a) limit cigarette smoking
b) do not go out during cold weather
c) take sublingual nitroglycerine every 5 minutes until chest pain subsides
d) keep nitroglycerine in a clear plastic container

38. A client has dual chamber pacemaker, which of the following is true about the pacemaker?

a) it provides atrial firing
b) it provides ventricular firing
c) it provides both atrial and ventricular firing
d) it provides alternate atrial and ventricular firing

39. Which of the following is a characteristic manifestation of the patient with cardiac tamponade?

a) increased pulse rate
b) rapid respiration
c) increased body temperature
d) distended neck vein

40. Which of the following findings in a client who had undergone cardiac catheterization needs immediate follow-up?

a) bleeding on dressing
b) capillary refill of more than 3 seconds
c) feeling of warmth and thirst
d) drowsiness





NCLEX Review about Cardiac Nursing:
ANSWERS AND RATIONALE

36) A, C, D, E, F
- these are signs and symptoms of left-sided CHF. Signs and symptoms of left-sided CHF are due to pulmonary edema, cellular hypoxia and activation of renin-angiotensin- aldosterone system (RAAS).

37) B
- precipitating events to chest pain in angina pectoris include exposure to cold, exertion, eating a large meal, and strong emotions.

38) C
- a dual chamber pacemaker provides both atrial and ventricular firing.

39) D
- cardiac tamponade, an accumulation of blood in the pericardial sac is characterized by Beck's triad signs and symptoms which are as follows: distended neck vein, muffled heart sounds and diminished or absent pulse.

40) B
- capillary refill of more than 3 seconds indicates circulatory impairment, and needs immediate follow-up. Normal capillary refill time is 1 to 2 seconds.


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