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Home  arrow PART 4: ACTIVITY-EXERCISE PATTERNS  arrow Chapter 30: Assessing Clients with Cardiac Disorders  arrow NCLEX® Review

NCLEX® Review



This activity contains 15 questions.

Question 1.
The 64 year old male client who has undergone coronary artery bypass surgery is scheduled to have a pacemaker implanted. Because the client has a heart rate that frequently decreases to a rate that will not sustain life, the nurse anticipates that the client will demonstrate a heart rate that is


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Question 2.
The nurse is performing a cardiac assessment on a client. In order to auscultate the client’s apical pulse, the nurse places the bell or diaphragm of the stethoscope at the


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Question 3.
Because the cardiac catheterization revealed that a client’s cardiac output was 40%, the nurse should provide which of the following instructions to the nursing assistants?


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Question 4.
After taking a client, who has been in bed for seven (7) days, for a walk around the medical-surgical unit, the nursing assistant reports that the apical pulse is 110. The nurse should perform which of the following activities?


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Question 5.
The client with right-sided congestive heart failure asks the nurse to explain why the heart enlarging and why it is “failing to do the job”. Which of the following statements is the best response?


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Question 6.
Despite being immunized, a young girl is admitted to the Emergency Department demonstrating signs of tetany. Because of the skeletal muscles spasms, the mother asks the nurse if the heart will “go into spasm as well”. Which of the following is the best response?


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Question 7.
Which of the following instructions will the nurse give to the client who is scheduled for a transesophageal echocardiograph (TEE)?


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Question 8.
Which of the following actions is appropriate for the nurse to take when assessing the obese client’s heart sounds?


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Question 9.
Because a client is scheduled for a lipid profile (cholesterol, triglycerides, HDL, LDL), the nurse should provide which of the following instructions?


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Question 10.
During assessment, the client asks why the nurse palpates the chest wall over the cardiac area. Which of the following is the best response?


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Question 11.
What is the cardiac index for a client who is 5 feet, 2 inches tall, weighs 120 pounds (54.5 kg), with a Body Surface Area (BSA) of 1.54 meters squared, and a cardiac output of 4L/min is: _____________.


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Question 12.
Because the cardiac catheterization revealed a 40% decrease in the client’s ejection fraction decreased since the last test, the nurse should place emphasis on which of the following cardiac assessments?


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Question 13.




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To create paragraphs in your essay response, type <p> at the beginning of the paragraph, and </p> at the end.

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Question 14.
To calculate a client’s cardiac output, the nurse must obtain which of the following measures? (Select all that apply.)


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Question 15.
On the figure below, identify the valves of the heart.




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The letters A through D appear on an image associated with this question.

This question presents 4 items numbered 15.1 through 15.4. Each item is presented with a pulldown menu containing the letters A through D. For each item below, use the pull-down menu to select the letter that labels the correct part of the image.
End of Question 15





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