NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
According to the nurse, when is the correct time to note the diastolic blood pressure reading?
Correct Answer: B
Rationale: The diastolic blood pressure is recorded at the point when the last loud knocking sound (Korotkoff phase V) is heard, indicating the pressure at which blood flow is fully restored.
Question 2 of 5
Before the cardiac catheterization and coronary arteriogram, it is essential for the nurse will be taken about any allergy to iodine or which other substance?
Correct Answer: C
Rationale: Shellfish allergies often indicate a risk of iodine sensitivity, which is critical since contrast dye used in arteriograms contains iodine.
Question 3 of 5
The client is diagnosed with pericarditis. Which are the most common signs/symptoms the nurse would expect to find when assessing the client?
Correct Answer: D
Rationale: Pericarditis causes pleuritic chest pain, worse with inspiration (
D), due to pericardial inflammation. Pulsus paradoxus (
A) and rub are less common, fatigue/arthralgias (
B) are nonspecific, and petechiae/hemorrhages (
C) suggest endocarditis.
Question 4 of 5
An adult male has a high level of high-density lipoproteins (HDL) in proportion to low-density lipoproteins (LDL). How does this relate to his risk of developing coronary artery disease (CAD)?
Correct Answer: A
Rationale: A high HDL-to-LDL ratio is protective against coronary artery disease, lowering risk due to HDL’s role in removing cholesterol from arteries.
Question 5 of 5
The client with coronary artery disease is prescribed a Holter monitor. Which intervention should the nurse implement?
Correct Answer: A
Rationale: A diary (
A) correlates symptoms with ECG changes on the Holter monitor. Removal (
B) is incorrect, medications (
C) continue, and decreasing activity (
D) is unnecessary.