NCLEX-RN Cardiovascular & Respiratory Flashcards

What does the acronym MONA stand for regarding initial interventions for Myocardial Infarction?

Which assessment finding is most indicative of right-sided heart failure?

In left-sided heart failure, blood backs up into which area of the body?

What term describes leg pain induced by exercise and relieved by rest in Peripheral Arterial Disease?

Select the correct positioning for peripheral vascular diseases:

Name one intervention used to prevent Deep Vein Thrombosis (DVT) in immobilized clients.

A client with a known DVT suddenly reports chest pain and shortness of breath. What is the priority nursing concern?

Due to blood stasis in the atria, clients with Atrial Fibrillation are at high risk for what life-threatening complication?

A client goes into Ventricular Fibrillation (VF). What is the priority intervention to convert the rhythm?

What hallmark sound is heard upon auscultation in a client with acute pericarditis?

A client with a history of Infective Endocarditis requires prophylactic antibiotics prior to which procedure?

Which assessment finding helps confirm a suspected Abdominal Aortic Aneurysm (AAA)?

Identify the vital sign trends characteristic of early hypovolemic shock:

Beck's Triad for cardiac tamponade consists of JVD, muffled heart sounds, and what change in blood pressure?

What specific finding distinguishes a Hypertensive Emergency from Hypertensive Urgency?

Complete the comparison regarding respiratory drive:

Arrange the steps for Pursed-Lip Breathing, used to prevent airway collapse in COPD:

An asthmatic client has a Peak Expiratory Flow Rate (PEFR) in the Yellow Zone (50-80% of personal best). What is the priority nursing instruction?

In a client with status asthmaticus, what does the sudden disappearance of wheezing (silent chest) indicate?

A client is admitted with suspected bacterial pneumonia. The provider orders a sputum culture and IV antibiotics. Which represents the correct sequence of care?

Name one specific requirement for Airborne Precautions used for active Tuberculosis.

Identify the induration size considered positive for a Mantoux (PPD) skin test based on client risk factors:

What is the most common hallmark symptom of a Pulmonary Embolism (PE)?

A client has a confirmed Pulmonary Embolism and is hemodynamically stable. Which position is appropriate to optimize oxygenation?

In a tension pneumothorax, which direction does the trachea deviate?

A client exhibits tracheal deviation, absent breath sounds on the right, and severe hypotension. What is the priority emergency intervention?

Why is prone positioning used for clients with Acute Respiratory Distress Syndrome (ARDS)?

When should Chest Physiotherapy (CPT) be scheduled for a client with Cystic Fibrosis relative to meals?

Select the correct safety parameters for open airway suctioning:

A client's tracheostomy tube, placed 24 hours ago, is accidentally dislodged. What is the priority nursing action?

What are the priority nursing interventions regarding the puncture site and the affected extremity immediately following a femoral cardiac catheterization?

A client is scheduled for a cardiac catheterization with contrast dye. Which assessment finding requires immediate notification of the provider to prevent acute kidney injury?

Complete the assessment rules for the water-seal chamber of a chest tube system:

A client's chest tube drainage system falls and cracks, disconnecting the tubing from the drainage unit. What is the priority nursing action?

State two critical safety rules regarding chest tube clamping and the position of the drainage unit.

How should the nurse position a client for a thoracentesis, and what is the priority post-procedure complication to monitor?

What is the priority assessment criterion before a client is allowed to eat or drink following a bronchoscopy?

Which piece of equipment must be kept at the bedside of a client with a tracheostomy to ensure safety in case of accidental decannulation?

Immediately post-CABG, what three major areas must be monitored regarding complications and physical restrictions?

Select the correct discharge instructions following permanent pacemaker insertion:

What is the primary cause (pathophysiology) and the hallmark pulmonary sign of Cardiogenic Shock?

Differentiate the hemodynamics of the two phases of Septic Shock:

A patient with a T4 spinal cord injury displays signs of shock. Which vital sign finding specifically distinguishes Neurogenic shock from Hypovolemic shock?

A patient develops stridor and angioedema after antibiotic administration. Which intervention is the highest priority?

Name one of the three subtypes of Distributive Shock (characterized by massive vasodilation/fluid displacement).

List three major mechanical causes of Obstructive Shock.

What class of IV fluids is the initial choice for volume resuscitation in most types of shock?

Complete the lab profile for Disseminated Intravascular Coagulation (DIC), where clotting factors are consumed:

Order the priority nursing actions when a patient exhibits signs of a Hemolytic Transfusion Reaction (back pain, fever, hypotension).

Which combination represents safe blood product administration?