NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
A client who has been treated for angina is discharged in stable condition. At a clinic visit, he tells the nurse he has anginal pain when he has sexual intercourse with his wife. What is the best response for the nurse to make?
Correct Answer: C
Rationale: Engaging in sexual activity when well-rested and relaxed reduces cardiac demand, minimizing angina risk. Questioning feelings, suggesting positions, or recommending alcohol are less appropriate or potentially harmful.
Question 2 of 5
When providing dietary instructions for this client, which healthful alternative should the nurse recommend?
Correct Answer: C
Rationale: Cereal is a low-cholesterol, heart-healthy alternative to eggs, which are high in cholesterol. Wheat toast and margarine still contain some fats, and ham is high in sodium and fat.
Question 3 of 5
The health-care provider has ordered an angiotensin-converting enzyme (ACE) inhibitor for the client diagnosed with congestive heart failure. Which discharge instructions should the nurse include?
Correct Answer: B
Rationale: ACE inhibitors cause hypotension, so teaching prevention of orthostatic hypotension (
B) is critical. Cough suppressants (
A) are inappropriate for ACE inhibitor cough, bananas (
C) are unnecessary unless hypokalemia exists, and food (
D) is not required.
Question 4 of 5
The client diagnosed with a myocardial infarction is on bedrest. The unlicensed assistive personnel (UAP) is encouraging the client to move the legs. Which action should the nurse implement?
Correct Answer: C
Rationale: Leg movements (
C) prevent DVT in MI patients on bedrest, so praising the UAP is appropriate. Stopping (
A), reporting (
B), or ignoring (
D) are incorrect.
Question 5 of 5
The client diagnosed with a myocardial infarction is six (6) hours post-right femoral percutaneous transluminal coronary angioplasty (PTCA), also known as balloon surgery. Which assessment data would require immediate intervention by the nurse?
Correct Answer: C
Rationale: Numbness (
C) suggests vascular compromise or nerve compression, requiring immediate intervention. Keeping the leg straight (
A), intact dressing (
B), and strong pulse (
D) are expected.