NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Question 1 of 5
The client diagnosed with rule-out myocardial infarction is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?
Correct Answer: C
Rationale: Activity-related chest pain suggests ischemia. Having the client sit (
C) stops exertion, reducing oxygen demand. Nitroglycerin (
A), ECG (
B), and vital signs (
D) follow.
Question 2 of 5
The nurse is assessing the client diagnosed with congestive heart failure. Which laboratory data would indicate that the client is in severe congestive heart failure?
Correct Answer: A
Rationale: Elevated BNP (
A) is specific to heart failure, reflecting ventricular stress. CK-MB (
B) indicates myocardial infarction, D-dimer (
C) suggests clotting, and V/Q scan (
D) is for pulmonary embolism.
Question 3 of 5
The client is experiencing multifocal premature ventricular contractions. Which antidysrhythmic medication would the nurse expect the healthcare provider to order for this client?
Correct Answer: A
Rationale: Amiodarone (
A) treats ventricular dysrhythmias like PVCs. Atropine (
B) is for bradycardia, digoxin (
C) for heart failure/AF, and adenosine (
D) for SVT.
Question 4 of 5
The client with infective endocarditis is admitted to the medical department. Which health-care provider’s order should be implemented first?
Correct Answer: B
Rationale: Blood cultures (
B) are obtained first in endocarditis to identify the pathogen before antibiotics (
A) obscure results. Echocardiogram (
C) and bedrest (
D) follow.
Question 5 of 5
The client is scheduled for a right femoral cardiac catheterization. Which nursing intervention should the nurse implement after the procedure?
Correct Answer: B
Rationale: Post-catheterization, assessing neurovascular status (
B) ensures no bleeding or vascular complications. ROM (
A) is inappropriate, high Fowler’s (
C) is not required, and gag reflex (
D) is irrelevant.