NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Question 1 of 5
The nurse is preparing to administer warfarin (Coumadin), an oral anticoagulant, to a client with a mechanical valve replacement. The client's INR is 2.7. Which action should the nurse implement?
Correct Answer: A
Rationale: INR 2.7 (
A) is within the therapeutic range (2–3) for mechanical valves, so administer warfarin. Vitamin K (
B) reverses anticoagulation, holding (
C) is unnecessary, and bleeding (
D) is routine but not primary.
Question 2 of 5
Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that the client is experiencing a myocardial infarction?
Correct Answer: B
Rationale: MI causes diaphoresis and cool, clammy skin (
B) due to sympathetic activation. Epigastric pain/pyrosis (
A) suggest GI issues, claudication/pallor (
C) indicate PAD, and JVD/edema (
D) suggest heart failure.
Question 3 of 5
Which meal would indicate the client understands the discharge teaching concerning the recommended diet for coronary artery disease?
Correct Answer: A
Rationale: Baked fish, steamed broccoli, and salad (
A) are low-fat and heart-healthy, aligning with CAD diet teaching. Enchiladas (
B), tuna with whole milk (
C), and fried chicken (
D) are high in fat/sodium.
Question 4 of 5
Which laboratory data confirm the diagnosis of congestive heart failure?
Correct Answer: D
Rationale: Elevated BNP (
D) is specific for CHF, reflecting ventricular stress. CXR (
A) shows fluid but is not diagnostic, liver tests (
B) and BUN (
C) are nonspecific.
Question 5 of 5
The client who has just had a percutaneous balloon valvuloplasty is in the recovery room. Which intervention should the Post Anesthesia Care Unit nurse implement?
Correct Answer: D
Rationale: Valvuloplasty is performed via femoral access, so keeping the leg straight (
D) prevents bleeding. Chest tubes (
A), dressings (
B), and ET tubes (
C) are not involved.