NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
After the coronary artery bypass graft (CABG) surgery, which assessment finding provides the best evidence that collateral circulation at the donor graft site is adequate?
Correct Answer: C
Rationale: Easy movement of the operative leg indicates adequate blood flow to the donor site, suggesting good collateral circulation.
Question 2 of 5
Which symptom would the nurse expect to observe if the client is having an allergic reaction to streptokinase (Streptase)?
Correct Answer: A
Rationale: Urticaria (hives) is a common sign of an allergic reaction to streptokinase, a thrombolytic agent.
Question 3 of 5
The nursing team develops a care plan and expected outcomes for the client's recovery. Which expected outcomes are most important? Select all that apply.
Correct Answer: C,D,E
Rationale: Complying with dietary restrictions, avoiding alcohol, and verbalizing fears support recovery by reducing cardiac risk and addressing emotional needs.
Question 4 of 5
The nurse knows that the client understands how to determine when the nitroglycerin tablets need replacing when the client makes which statement?
Correct Answer: C
Rationale: Fresh nitroglycerin tablets cause a tingling sensation under the tongue; loss of this sensation indicates loss of potency.
Question 5 of 5
The nurse is teaching an adult who has angina about taking nitroglycerin. The nurse tells him he will know the nitroglycerin is effective when:
Correct Answer: C
Rationale: The effectiveness of nitroglycerin is indicated by the relief of anginal pain. Tingling, increased pulse rate, or improved activity tolerance are not direct indicators of its effectiveness.