Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

After hearing the nurse's instructions about activity restrictions and the potentially dangerous consequences of certain activities, the client correctly states the importance for avoiding which of the following?

Correct Answer: B

Rationale: Straining during a bowel movement increases intrathoracic pressure, raising cardiac workload and MI risk.

Question 2 of 5

The male client is diagnosed with coronary artery disease (CAD) and is prescribed sublingual nitroglycerin. Which statement indicates the client needs more teaching?

A. I should keep the tablets in the dark-colored bottle they came in.' B. If the tablets do not burn under my tongue, they are not effective.' C. I should keep the bottle with me in my pocket at all times.' D. If my chest pain is not gone with one tablet, I will go to the ER.'

Correct Answer: B

Rationale: Burning under the tongue (
B) is not a reliable indicator of nitroglycerin effectiveness; potency is maintained in a dark bottle (A,
C). Persistent pain requires up to 3 doses, not immediate ER (
D).

Question 3 of 5

The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client?

A. Apical pulse rate of 110 and 4+ pitting edema of feet. B. Thick white sputum and crackles that clear with cough. C. The client sleeping with no pillow and eupnea. D. Radial pulse rate of 90 and CRT less than three (3) seconds.

Correct Answer: A

Rationale: CHF exacerbation causes fluid overload, leading to tachycardia (apical pulse 110) and severe edema (4+ pitting,
A). Thick sputum/crackles (
B) suggest pneumonia, sleeping flat with eupnea (
C) is unlikely, and normal CRT (
D) doesn’t reflect CHF severity.

Question 4 of 5

When the nurse is about to administer digoxin to a client, the client says, 'I think I need to see the eye doctor. Things seem to look kind of green today.' The nurse takes his vital signs, which are blood pressure = 150/94, pulse = 60 bpm, and respirations = 28. What is the most appropriate initial action for the nurse to take?

A. Administer the medication and record the findings on his chart B. Withhold the digoxin and report to the charge nurse C. Request an appointment with the ophthalmologist D. Reassure the client that he is having a normal reaction to his medication

Correct Answer: B

Rationale: Visual disturbances, such as seeing a green or yellow halo, are signs of digoxin toxicity. The nurse should withhold the medication and report to the charge nurse for further evaluation.

Question 5 of 5

After the femoral artery has been cannulated and the client is returned to the room, what should the nurse plan to do first?

A. Palpate the client's distal peripheral pulses10 pulses. B. Auscultate the client's heart and breath sounds. C. Percuss all four quadrants of the client's abdomen. D. Inspect the skin integrity in the client's groin.

Correct Answer: A

Rationale: Palpating distal pulses first ensures adequate circulation post-catheterization, detecting complications like arterial occlusion.

Cardiac Disorders NCLEX Questions | Nurselytic

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