Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

A client is being seen in the clinic to rule out (R/O) mitral valve stenosis. Which assessment data would be most significant?

Correct Answer: A

Rationale: Shortness of breath on exertion (
A) is a hallmark of mitral valve stenosis due to impaired left atrial emptying. JVD/edema (
B), postprandial pain (
C), and liver/abdominal edema (
D) suggest right-sided failure or other causes.

Question 2 of 5

Which symptom would the nurse expect to observe if the client is having an allergic reaction to streptokinase (Streptase)?

A. Urticaria B. Anuria C. Hemoptysis D. Dyspepsia

Correct Answer: A

Rationale: Urticaria (hives) is a common sign of an allergic reaction to streptokinase, a thrombolytic agent.

Question 3 of 5

After the femoral artery has been cannulated and the client is returned to the room, what should the nurse plan to do first?

A. Palpate the client's distal peripheral pulses10 pulses. B. Auscultate the client's heart and breath sounds. C. Percuss all four quadrants of the client's abdomen. D. Inspect the skin integrity in the client's groin.

Correct Answer: A

Rationale: Palpating distal pulses first ensures adequate circulation post-catheterization, detecting complications like arterial occlusion.

Question 4 of 5

The nurse is teaching an adult who has angina about taking nitroglycerin. The nurse tells him he will know the nitroglycerin is effective when:

A. he experiences tingling under the tongue. B. his pulse rate increases. C. his pain subsides. D. his activity tolerance increases.

Correct Answer: C

Rationale: The effectiveness of nitroglycerin is indicated by the relief of anginal pain. Tingling, increased pulse rate, or improved activity tolerance are not direct indicators of its effectiveness.

Question 5 of 5

A client is being seen in the clinic to rule out (R/O) mitral valve stenosis. Which assessment data would be most significant?

A. The client complains of shortness of breath when walking. B. The client has jugular vein distention and 3+ pedal edema. C. The client complains of chest pain after eating a large meal. D. The client's liver is enlarged and the abdomen is edematous.

Correct Answer: A

Rationale: Shortness of breath on exertion (
A) is a hallmark of mitral valve stenosis due to impaired left atrial emptying. JVD/edema (
B), postprandial pain (
C), and liver/abdominal edema (
D) suggest right-sided failure or other causes.

Cardiac Disorders NCLEX Questions | Nurselytic

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