NCLEX CRUSADE ACADEMY TEST - 16 CARDIOVASCULAR DISORDERS PRT 1 PRACTICE CLASS

1. In a patient with sepsis who suddenly begins bleeding from IV sites, gums, and urine, the nurse should suspect: Hemophilia. Disseminated Intravascular Coagulation (DIC). Immune thrombocytopenia. Vitamin K deficiency.

2. A hallmark laboratory finding in Disseminated Intravascular Coagulation (DIC) is: Decreased D dimer. Elevated platelet count. Elevated D dimer. Decreased PT/PTT.

3. Which lab abnormality is expected in DIC?. High platelets. Low fibrinogen. Low D dimer. Shortened PT.

4. The priority treatment for DIC is: Administer anticoagulants. Treat the underlying cause. Immediate surgery. Restrict fluids.

5. Blood products commonly administered during DIC include: Whole blood only. Packed RBCs only. Fresh frozen plasma and platelets. Albumin.

6. A spinal cord injury patient at C6 suddenly develops severe headache, hypertension, and bradycardia. The nurse suspects: Stroke. Autonomic dysreflexia. Hypovolemic shock. Pulmonary embolism.

7. The FIRST nursing intervention for autonomic dysreflexia is: Administer antihypertensives. Lay patient flat. Sit the patient upright. Call the physician.

8. The most common trigger of autonomic dysreflexia is: Infection. Bladder distention. Fever. Anxiety.

9. A patient presents with tearing chest pain and unequal blood pressures between arms. The nurse suspects: Myocardial infarction. Aortic dissection. Pericarditis. Pulmonary embolism.

10. In suspected aortic dissection, which medication is appropriate?. Heparin. Fibrinolytics. Beta blockers. Aspirin.

11. Which medication should NOT be administered during an aortic dissection?. Opioids. Beta blockers. Heparin. Labetalol.

12. Orthostatic hypotension is diagnosed when: Systolic BP increases 10 mmHg. Systolic BP decreases 20 mmHg. Diastolic increases 20 mmHg. HR decreases.

13. When measuring orthostatic vitals, the correct sequence is: Sitting standing supine. Standing sitting supine. Supine sitting standing. Standing only.

14. Clonidine patch instructions include: Apply to moist skin. Change daily. Apply to dry hairless skin. Remove at night.

15. A patient taking spironolactone should avoid: Spinach. Bananas. Bread. Rice.

16. The nurse should monitor which parameter when administering labetalol?. Blood glucose. Apical pulse. Respiratory rate. Temperature.

17. A patient two hours post angioplasty becomes restless with flank bruising and hypotension. The nurse suspects: Stroke. Retroperitoneal bleeding. Cardiac tamponade. Pulmonary embolism.

18. Grey Turners sign indicates: Brain hemorrhage. Kidney failure. Retroperitoneal bleeding. Stroke.

19. Hypotension with tachycardia in a post PCI patient indicates: Pain response. Shock until proven otherwise. Anxiety. Dehydration.

20. When ventricular tachycardia is observed on the monitor, the nurses FIRST step is: Defibrillate. Call code. Check for a pulse. Start oxygen.

21. Ventricular tachycardia WITH a pulse is treated with: CPR. Defibrillation. Synchronized cardioversion. No treatment.

22. Ventricular tachycardia WITHOUT a pulse requires: Adenosine. Defibrillation and CPR. Nitroglycerin. Digoxin.

23. The NCLEX rule when interpreting cardiac rhythms is: Treat the monitor. Ignore symptoms. Treat the patient not the monitor. Shock immediately.

24. A widened pulse pressure between arms in chest pain patients suggests: Myocardial infarction. Aortic dissection. Angina. Pericarditis.

25. The Next Gen NCLEX emphasizes: Memorization. Clinical reasoning and prioritization. Guessing strategies. Basic anatomy recall.