NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Question 1 of 5
The client is diagnosed with pericarditis. Which are the most common signs/symptoms the nurse would expect to find when assessing the client?
Correct Answer: D
Rationale: Pericarditis causes pleuritic chest pain, worse with inspiration (
D), due to pericardial inflammation. Pulsus paradoxus (
A) and rub are less common, fatigue/arthralgias (
B) are nonspecific, and petechiae/hemorrhages (
C) suggest endocarditis.
Question 2 of 5
To provide adequate care for the client with worsening left-sided heart failure, the intensive care unit (ICU) nurse should be a full of the following on a daily basis?
Correct Answer: B,D
Rationale: Peripheral edema and weight are key indicators of fluid status in heart failure.
Question 3 of 5
According to the nurse, when is the correct time to note the diastolic blood pressure reading?
Correct Answer: B
Rationale: The diastolic blood pressure is recorded at the point when the last loud knocking sound (Korotkoff phase V) is heard, indicating the pressure at which blood flow is fully restored.
Question 4 of 5
Before administering the digoxin (Lanoxin) to the client, what nursing assessment is essential?
Correct Answer: A
Rationale: Check heart rate; withhold digoxin if <60 bpm to prevent toxicity.
Question 5 of 5
A young adult with a history of rheumatic fever as a child is to have a cardiac catheterization. She asks the nurse why she must have a cardiac catheterization. The nurse's response is based on the understanding that cardiac catheterization can accomplish all of the following EXCEPT:
Correct Answer: D
Rationale: Cardiac catheterization can assess heart structures, measure oxygen levels, and evaluate cardiac output, but obtaining a biopsy specimen is not a standard purpose of this procedure. Biopsies are typically performed via other methods, such as endomyocardial biopsy in specific cases.