NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
A client has an elevated AST 24 hours following chest pain and shortness of breath. This is suggestive of which of the following?
Correct Answer: C
Rationale: AST is an enzyme released in response to tissue damage. The symptoms of chest pain and shortness of breath, along with elevated AST 24 hours later, are suggestive of myocardial infarction. AST rises after a myocardial infarction but may also rise with liver damage or skeletal muscle injury. Gallbladder disease typically presents with pain in the right scapula region and would not have an elevated AST.
Question 2 of 5
Which statement by the client indicates an understanding of what will happen during the testing procedure?
Correct Answer: D
Rationale: During a coronary arteriogram, the injection of contrast dye often causes a warm or flushing sensation as it circulates.
Question 3 of 5
After providing medication instructions, the best evidence that the client knows this drug's potential side effects is when the client states it may cause which adverse effect?
Correct Answer: A
Rationale: Atorvastatin (Lipitor) can cause muscle pain (myalgia) as a common side effect, potentially progressing to rhabdomyolysis in severe cases.
Question 4 of 5
The nurse anticipates that the client will most likely demonstrate which emotional response in relation to the development of heart failure?
Correct Answer: B
Rationale: Anxiety is common in CHF due to breathlessness and fear of disease progression.
Question 5 of 5
Which assessment finding offers the best evidence that the client can tolerate the activity involved in getting out of bed?
Correct Answer: C
Rationale: Stable heart rate indicates the heart can handle the increased demand of activity.