NCLEX-RN DRILL: MEDICAL SURGICAL CARDIOVASCULAR A

Medical Surgical Nursing is a very broad area in the field of Nursing for it tackles the management of different client condition. Books in Medical Surgical Nursing are usually divided according to the Organ System of the Human Body. The Cardiovascular System is one of the most difficult areas to study and to master since any deviation in this system will affect every organ system. Mastery is needed to be able to answer board type questions pertaining to Cardiovascualr System.

1. A client with hypertension has an order for furosemide. Which lab finding should be reported to the physician?
A. Phosphorus 2.5 mEq/L
B. Potassium 1.8 mEq/L
C. Calcium 9.4 mg/dl
D. Magnesium 2.4 mEq/L

2. A client is admitted with a diagnosis of heart block. The nurse is aware that the pacemaker of the heart is the:
A. AV node
B. Purkinje fibers
C. SA node
D. Bundle of His

3. A client is being treated with nitroprusside (Nitropress). The nurse is aware that this medication:
A. Should be protected from light
B. Is a non–potassium-sparing diuretic
C. Causes vasoconstriction
D. Decreases circulation to the extremities

4. A client being treated with lisinopril (Zestril) develops a hacking cough. The nurse should tell the client to:
A. Take half the dose to control the problem
B. Take cough medication to control the problem
C. Stop the medication
D. Report the problem to the doctor

5. An elderly client taking digitalis develops constipation. The nurse is aware that constipation in a client taking digitalis might:
A. Develop an elevated digitalis level
B. Have a decrease in the digitalis levels
C. Have alterations in sodium levels
D. Develop tachycardia

6. The client is suspected of having had a myocardium infarction. Which diagnostic finding is most significant?
A. LDH
B. Troponin
C. Creatinine
D. AST

7. A client with an internally implanted defibrillator should be taught to:
A. Avoid driving a car
B. Avoid eating food cooked in a microwave
C. Refrain from using a cellular phone
D. Report swelling at the site

8. A client is scheduled for a cardiac catheterization. Following the procedure, the nurse should:
A. Assess for allergy to iodine
B. Check pulses proximal to the site
C. Assess the urinary output
D. Check to ensure that the client has a consent form signed

9. A client with Buerger’s disease complains of pain in the lower extremities. The nurse is aware that Buerger’s disease is also called:
A. Pheochromocytoma
B. Intermittent claudication
C. Kawasaki disease
D. Thromboangiitis obliterans

10. A client with an abdominal aneurysm frequently complains of:
A. A headache
B. Shortness of breath only during sleep
C. Lower back pain
D. Difficulty voiding