Pediatric Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

According to the 2010 American Heart Association Guidelines, which steps of cardiopulmonary resuscitation for an adult suffering from a cardiac arrest should the nurse teach individuals in the community? Rank in order of performance.

Correct Answer: E,B,D,A,C

Rationale: 1. Position on back (E): Ensures a firm surface. 2. Look for breathing (
B): Confirms arrest. 3. Call for AED (
D): Activates help. 4. Place hands on sternum (
A): Prepares for compressions. 5. Begin compressions 30:2 (
C): Starts CPR.

Question 2 of 5

The nurse is preparing to administer warfarin (Coumadin), an oral anticoagulant, to a client with a mechanical valve replacement. The client's INR is 2.7. Which action should the nurse implement?

A. Administer the medication as ordered. B. Prepare to administer vitamin K (AquaMephyton). C. Hold the medication and notify the HCP. D. Assess the client for abnormal bleeding.

Correct Answer: A

Rationale: INR 2.7 (
A) is within the therapeutic range (2–3) for mechanical valves, so administer warfarin. Vitamin K (
B) reverses anticoagulation, holding (
C) is unnecessary, and bleeding (
D) is routine but not primary.

Question 3 of 5

The nurse is assessing the client diagnosed with congestive heart failure. Which signs/symptoms would indicate that the medical treatment has been effective?

A. The client's peripheral pitting edema has gone from 3+ to 4+. B. The client is able to take the radial pulse accurately. C. The client is able to perform ADLs without dyspnea. D. The client has minimal jugular vein distention.

Correct Answer: C,D

Rationale: Effective CHF treatment reduces fluid overload, allowing ADLs without dyspnea (
C) and minimal JVD (
D). Increased edema (
A) indicates worsening, and pulse-taking (
B) is a skill, not a treatment outcome.

Question 4 of 5

The client is in complete heart block. Which intervention should the nurse implement first?

A. Prepare to insert a pacemaker. B. Administer atropine, an antidysrhythmic. C. Obtain a STAT electrocardiogram (ECG). D. Notify the health-care provider.

Correct Answer: B

Rationale: Complete heart block may respond to atropine (
B) to increase heart rate acutely. Pacemaker (
A), ECG (
C), and HCP notification (
D) follow if atropine fails.

Question 5 of 5

The client's telemetry reading shows a P wave before each QRS complex and the rate is 78. Which action should the nurse implement?

A. Document this as normal sinus rhythm. B. Request a 12-lead electrocardiogram. C. Prepare to administer the cardiotonic digoxin PO. D. Assess the client's cardiac enzymes.

Correct Answer: A

Rationale: P wave before QRS at rate 78 (
A) is normal sinus rhythm, requiring documentation. ECG (
B), digoxin (
C), and enzymes (
D) are unnecessary.

Pediatric Cardiac Disorders NCLEX Questions | Nurselytic

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