Cardiac Disorders NCLEX Questions | Nurselytic

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Cardiac Disorders NCLEX Questions Questions

Question 1 of 5

The client diagnosed with a myocardial infarction is on bedrest. The unlicensed assistive personnel (UAP) is encouraging the client to move the legs. Which action should the nurse implement?

Correct Answer: C

Rationale: Leg movements (
C) prevent DVT in MI patients on bedrest, so praising the UAP is appropriate. Stopping (
A), reporting (
B), or ignoring (
D) are incorrect.

Question 2 of 5

During the postoperative period, what is the best rationale for the nurse frequently assessing the client's fluid status?

Correct Answer: B

Rationale: Urine output reflects renal perfusion, critical post-heart transplant to monitor graft function.

Question 3 of 5

The nurse identifies the concept of perfusion for a client diagnosed with congestive heart failure. Which assessment data support this concept?

Correct Answer: B

Rationale: PND (
B) indicates fluid overload in CHF, supporting impaired perfusion. Large abdomen (
A) suggests ascites, glucosuria (
C) is diabetes-related, and MI (
D) is a cause, not a symptom.

Question 4 of 5

The nurse assessing the client with pericardial effusion at 1600 notes the apical pulse is 72 and the BP is 138/94. At 1800, the client has neck vein distention, the apical pulse is 70, and the BP is 106/94. Which action would the nurse implement first?

Correct Answer: B

Rationale: JVD and hypotension (BP drop to 106/94) suggest cardiac tamponade; notifying the HCP (
B) is urgent. Staying calm (
A), lateral position (
C), and morphine (
D) are secondary.

Question 5 of 5

The nursing team develops a care plan and expected outcomes for the client's recovery. Which expected outcomes are most important? Select all that apply.

Correct Answer: C,D,E

Rationale: Complying with dietary restrictions, avoiding alcohol, and verbalizing fears support recovery by reducing cardiac risk and addressing emotional needs.

Similar Questions

The nurse enters the client's room and notes an unconscious client with an absence of respirations and no pulse or blood pressure. The concept of perfusion is identified by the nurse. Which should the nurse implement first?
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An adult is admitted with venous thromboembolism. What treatment should the nurse expect during the acute stage?
The nurse enters the room of the client diagnosed with congestive heart failure. The client is lying in bed gasping for breath, is cool and clammy, and has buccal cyanosis. Which intervention would the nurse implement first?
The nurse knows that the client understands how to determine when the nitroglycerin tablets need replacing when the client makes which statement?

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