NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
A 72-year-old man had a total hip arthroplasty eight days ago. He suddenly develops tenderness in his left calf, a slight temperature elevation, and a positive Homan's sign. Which of the following will be included in the initial care of this man?
Correct Answer: C
Rationale: Placing the leg in a dependent position promotes venous return and reduces swelling in suspected deep vein thrombosis. Warm packs, massage, or range of motion may dislodge a clot, increasing embolism risk.
Question 2 of 5
An adult male is being evaluated for possible dysrhythmia and is to be placed on a Holter monitor. What instructions should the nurse give him to ensure that this test provides a comprehensive picture of his cardiac status?
Correct Answer: C
Rationale: Keeping a diary of activities correlates symptoms or dysrhythmias with specific triggers, providing a comprehensive picture for diagnosis.
Question 3 of 5
Which statement is the best indication that the client understands the surgical procedure involving mitral valve replacement?
Correct Answer: A
Rationale: Mitral valve replacement requires a heart-lung machine for cardiopulmonary bypass.
Question 4 of 5
When auscultating the client's heart and breath sounds during a routine shift assessment, which action by the nurse is most appropriate?
Correct Answer: B
Rationale: The bell of the stethoscope is best for low-pitched heart sounds in pericarditis.
Question 5 of 5
If the client is typical of others who have angina pectoris, the nurse should expect the client to report that chest pain is best relieved by which major medical measure?
Correct Answer: B
Rationale: Angina pectoris is relieved by rest, which reduces myocardial oxygen demand, allowing blood flow to meet the heart's needs.