10 Preload and Afterload NCLEX Questions

Question 1 of 10

A nurse is working with a 68-year-old client with cardiac dysrhythmias who has cool skin, poor pulses, and mental status changes. Which of the following conditions is this client most likely experiencing?

    Question 2 of 10

    The nurse is caring for a client with low cardiac afterload. Which of the following medication orders would the nurse question?

      Question 3 of 10

      A nurse is assigned to a 6-month-old diagnosed with a large ventricular septal defect and is being treated for signs of heart failure. The nurse knows to expect which of the following orders to help decrease pulmonary and systemic vascular resistance?

        Question 4 of 10

        Which description best defines preload?

          Question 5 of 10

          A nurse is measuring systemic vascular resistance for a client with hypovolemic shock. The client has a central catheter and his mean arterial pressure (MAP) is 100 mmHg. His central venous pressure is 0 mmHg and his cardiac output is 8.0 L/min. Calculate this client’s systemic vascular resistance (SVR).

            Question 6 of 10

            A nurse is assisting with the placement of a pulmonary artery (PA) catheter to monitor a client’s hemodynamic status and prevent cardiogenic shock. During placement of the catheter, the physician initially moves the tip of the catheter through the superior vena cava, into the right atrium, and then into the right ventricle while the nurse watches the monitor. While the catheter tip is in the right atrium, the nurse would expect to see systolic pressures of:

              Question 7 of 10

              Diuretics are good medications for the management of hypertension because of which of the following mechanisms?

                Question 8 of 10

                The nurse is caring for a client with congestive heart failure. This client regularly takes a vasodilator. The nurse understands that this type of drug helps congestive heart failure in what ways? Select all that apply.

                  Question 9 of 10

                  A nurse is working with a client who has a central catheter in place that is measuring central venous pressure (CVP). When looking at the waveform, the nurse understands that the descending portion of the wave indicates which of the following?

                    Question 10 of 10

                    The nurse is caring for a client who becomes pale, weak, and diaphoretic. The nurse suspects the client is experiencing shock. What is the first thing this nurse should do?