Question 1 of 5

The client is admitted to the medical unit to rule out carditis. Which question should the nurse ask the client during the admission interview to support this diagnosis?

A. Have you had a sore throat in the last month?'B. Did you have rheumatic fever as a child?'C. Do you have a family history of carditis?'D. What over-the-counter (OTC) medications do you take?'

Correct Answer: B

Rationale: Rheumatic fever (
B) is a major cause of carditis, especially in children, making it the most relevant question. Sore throat (
A) is less specific, family history (
C) is rare, and OTC meds (
D) are unrelated.

Question 2 of 5

The nurse is administering a calcium channel blocker to the client diagnosed with a myocardial infarction. Which assessment data would cause the nurse to question administering this medication?

A. The client's apical pulse is 64.B. The client's calcium level is elevated.C. The client's telemetry shows occasional PVCs.D. The client's blood pressure is 90/58.

Correct Answer: D

Rationale: Hypotension (BP 90/58,
D) contraindicates calcium channel blockers, which lower BP further. Pulse 64 (
A), elevated calcium (
B), and PVCs (
C) are not contraindications.

Question 3 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for four clients on a telemetry unit. Which nursing task would be best for the nurse to delegate to the UAP?

A. Assist the client to go down to the smoking area for a cigarette.B. Transport the client to the intensive care unit (ICU) via a stretcher.C. Provide the client going home discharge-teaching instructions.D. Help position the client who is having a portable x-ray done.

Correct Answer: D

Rationale: Positioning for an x-ray (
D) is within the UAP’s scope and safe. Smoking (
A) is inappropriate, ICU transport (
B) requires nursing judgment, and discharge teaching (
C) is a nursing responsibility.

Question 4 of 5

The nurse is administering morning medications. Which medication should be administered first?

A. The cardiac glycoside medication, digoxin, to a client diagnosed with heart failure and who has 2+ edema of the feet.B. The sliding scale insulin to a client with a fasting blood glucose of 345 mg/dL who is demanding breakfast.C. The loop diuretic, furosemide, to a client with a 24-hour intake of 986 mL and an output of 1,400 mL.D. The ARB medication to a client whose blood pressure was reported by the unlicensed assistive personnel as 142/76.

Correct Answer: B

Rationale: Fasting glucose of 345 mg/dL (
B) requires immediate insulin to prevent complications, especially before eating. Digoxin (
A), furosemide (
C), and ARB (
D) are less urgent.

Question 5 of 5

The client has just returned from a cardiac catheterization. Which assessment data would warrant immediate intervention from the nurse?

A. The client's BP is 110/70 and pulse is 90.B. The client's groin dressing is dry and intact.C. The client refuses to keep the leg straight.D. The client denies any numbness and tingling.

Correct Answer: C

Rationale: Refusing to keep the leg straight (
C) risks bleeding from the femoral site, requiring immediate intervention. Normal BP/pulse (
A), intact dressing (
B), and no numbness (
D) are expected.

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Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions

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