NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
A male client with angina pectoris has been having an increased number of episodes of pain recently. He is admitted for observation. During the admission interview, he tells the nurse that he has been having chest pain during the last week. Which statement by the client would be of greatest concern to the nurse?
Correct Answer: C
Rationale: Chest pain at rest, such as while watching television, is concerning as it may indicate unstable angina or impending myocardial infarction, requiring urgent evaluation. Pain with activity, eating, or radiating to the arm is typical of angina but less immediately alarming.
Question 2 of 5
Which modification used by the nurse is most appropriate when taking the blood pressure of a client who weighs 250 pounds?
Correct Answer: D
Rationale: An extra-large blood pressure cuff is appropriate for clients with larger arm circumferences, such as those who are obese, to ensure accurate readings. Using the thigh, lying down, or over-inflating the cuff does not address the need for proper cuff size.
Question 3 of 5
Which nursing action can best help reduce the client's anxiety in this situation?
Correct Answer: B
Rationale: Listening to the client's feelings validates their emotions and reduces anxiety by fostering trust and open communication.
Question 4 of 5
The nurse has received shift report. Which client should the nurse assess first?
Correct Answer: A
Rationale: Severe indigestion in CAD (
A) may indicate angina or MI, requiring immediate assessment. Edema (
B), tachycardia (
C), and constipation (
D) are less urgent.
Question 5 of 5
When the nurse informs the client about the use of the PCA pump, which instruction is most important to include?
Correct Answer: B
Rationale: Only the client should press the PCA button to prevent overdose and ensure pain relief is patient-controlled.