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NCLEX & CGFNS Practice Questions

Below are recent practice questions under UNIT 1 -Medical-Surgical Nursing for Cardiovascular Disorders. You can view your scores and the answers to all the questions by clicking on the SHOW RESULT red button at the end of the questions.

1. Which clinical feature found on assessment should indicate to a nurse that a client has congestive heart failure?

 
 
 
 

2. Plans for nursing interventions for a client in the acute stage of bacterial endocarditis should include which of the following interventions?

 
 
 
 

3. A nurse is caring for a client with peripheral arterial insufficiency of the lower extremities. Which one of the following should be included in the plan of care to reduce leg pain?

 
 
 
 

4. Which of the following is a priority for the nurse to report when obtaining a history from a client scheduled for a coronary angiogram?

 
 
 
 

5. The Nurse understands that a pulmonary embolism is a most unlikely complication in the postoperative period following?

 
 
 
 

6. The nurse auscultates bibasilar inspiratory crackles in a newly admitted 68 year-old client with a diagnosis of congestive heart disease. Which of the following symptoms is MOST likely to occur?

 
 
 
 

7. In a client with mitral regurgitation the nurse would expect to see which of the following signs and symptoms?

 
 
 
 

8. When assessing the cardiovascular system the nurse inspects and palpates blood vessels. A rigid (hard) blood vessel will vibrate. The correct term for a palpable vibration of a blood vessel is:

 
 
 
 

9. The nurse’s client asks, “How did I get rheumatic heart disease?” The most appropriate response by the nurse is that rheumatic heart disease is frequently a result of?

 
 
 
 

10. Which patient would benefit most from a quad cane?

 
 
 
 

11. The nurse can best asses the degree of edema in an extremity by?

 
 
 
 

12. After receiving a permanent pacemaker, the client asks the nurse if there are any activities to avoid during a vacation scheduled for 4 months after discharge. Which of the following is the most appropriate response by the nurse?

 
 
 
 

13. Which of the following should the nurse include in the plan of care for a client following a coronary angiogram?

 
 
 
 

14. Which of the following should the nurse include in the preoperative teaching for a client scheduled for coronary artery bypass graft (CABG) surgery?

 
 
 
 

15. An ambulatory client reports edema during the day in his feet and ankles that disappears while sleeping at night. Which of the following is the most appropriate follow-up question for the nurse to ask?

 
 
 
 

16. The nurse is caring for a client who has developed cardiac tamponade. Which of the following assessments would the nurse anticipate finding?

 
 
 
 

17. A client with atrial fibrillation is receiving digoxin (Lanoxin). It is MOST important for the nurse to?

 
 
 
 

18. A client is admitted with the diagnosis of Myocardial Infarction. Which of the following lab values would be consistent with this diagnosis?

 
 
 
 

19. Which of the following orders should the nurse question in a client who has been admitted with a possible myocardial infarction and active peptic ulcer disease?

 
 
 
 

20. A client is admitted with a diagnosis of Myocardial Infarction (MI). The client is complaining of chest pain. The nurse knows that pain related to an MI is due to?

 
 
 
 

21. Clients with mitral stenosis would likely manifest symptoms associated with congestion in the?

 
 
 
 

22. During a routine physical examination, a client reports recent occipital headaches, blurred vision, fatigue, and increasing oedema. The nurse reports these findings as indicative of

 
 
 
 

23. A client is scheduled for a Percutaneous Transluminal Coronary Angioplasty (PTCA). The nurse knows that a PTCA is the?

 
 
 
 

24. A 68 year-old client is admitted for mitral valve replacement surgery. The client has a history of mitral valve regurgitation and mitral stenosis since her teenage years. During the admission assessment, the nurse should ask the client if as a child she had?

 
 
 
 

25. In order to enhance a client’s response to medication for chest pain from acute angina, the nurse should emphasize?

 
 
 
 

26. The nurse is teaching a class to student nurses on rheumatic fever. Which of the following should the nurse include in the class? Rheumatic fever

 
 
 
 

27. In preparing a client for a trans-esophageal echocardiogram (TEE), the nurse should include which of the following in the client education?

 
 
 
 

28. The nurse is assessing a client in the emergency room. Which of the following statements suggests that the problem is acute angina?

 
 
 
 

29. A client’s parents ask the nurse, “What is the prognosis of myocarditis?” The most appropriate response by the nurse is?

 
 
 
 


 

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