NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Question 1 of 5
The client who has had a myocardial infarction is admitted to the telemetry unit from intensive care. Which referral would be most appropriate for the client?
Correct Answer: C
Rationale: Cardiac rehabilitation (
C) promotes recovery through exercise and education post-MI. Social work (
A), physical therapy (
B), and occupational therapy (
D) are less specific.
Question 2 of 5
The client is admitted to the emergency department, and the nurse suspects a cardiac problem. Which assessment interventions should the nurse implement? Select all that apply.
Correct Answer: B,C,E
Rationale: Telemetry (
B), saline lock (
C), and STAT ECG (E) assess cardiac status. Urine specimen (
A) and BMP (
D) are not priority for suspected cardiac issues.
Question 3 of 5
The client diagnosed with a myocardial infarction asks the nurse, 'Why do I have to rest and take it easy? My chest doesn’t hurt anymore.' Which statement would be the nurse’s best response?
Correct Answer: A
Rationale: Explaining that the heart needs 4–6 weeks to heal (
A) is accurate and understandable. Necrosis/dysrhythmias (
B) is technical, doctor’s orders (
C) dismiss patient autonomy, and danger (
D) is vague.
Question 4 of 5
The nurse is assessing the client diagnosed with congestive heart failure. Which signs/symptoms would indicate that the medical treatment has been effective?
Correct Answer: C,D
Rationale: Effective CHF treatment reduces fluid overload, allowing ADLs without dyspnea (
C) and minimal JVD (
D). Increased edema (
A) indicates worsening, and pulse-taking (
B) is a skill, not a treatment outcome.
Question 5 of 5
The client's telemetry reading shows a P wave before each QRS complex and the rate is 78. Which action should the nurse implement?
Correct Answer: A
Rationale: P wave before QRS at rate 78 (
A) is normal sinus rhythm, requiring documentation. ECG (
B), digoxin (
C), and enzymes (
D) are unnecessary.