NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
A client with angina will have to make lifestyle modifications. Which of the following statements by the client would indicate that he understands the necessary modifications in lifestyle to prevent angina attacks?
Correct Answer: D
Rationale: Walking slowly and resting frequently helps prevent angina by reducing cardiac workload. Eating one meal a day, staying in bed, or only stopping during pain do not address preventive lifestyle modifications.
Question 2 of 5
If the chest pain is not relieved after taking one nitroglycerin tablet, the nurse should teach the client to take what action?
Correct Answer: A
Rationale: If angina persists after one nitroglycerin tablet, another can be taken every 5 minutes up to three doses, then seek medical help if unrelieved.
Question 3 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 4 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.
Question 5 of 5
An adult who is admitted for a cardiac catheterization asks the nurse if she will be asleep during the cardiac catheterization. What is the best initial response for the nurse to make?
Correct Answer: B
Rationale: During cardiac catheterization, clients receive sedation but remain awake, as their cooperation may be needed. General anesthesia is not used, and pain is managed with sedation, not additional anesthetics. Asking 'why' may make the client defensive and does not provide the requested information.