NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 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?
Correct Answer: A
Rationale: Palpating distal pulses first ensures adequate circulation post-catheterization, detecting complications like arterial occlusion.
Question 2 of 5
The nurse knows that the client understands the physician's explanation of the PTCA procedure when the client makes which statement?
Correct Answer: A
Rationale: PTCA involves inflating a balloon-tipped catheter to open a narrowed coronary artery, improving blood flow.
Question 3 of 5
While the client takes propranolol (Inderal), what changes would the nurse expect to see in the client's pulse rate?
Correct Answer: D
Rationale: Propranolol slows the heart rate by blocking beta-adrenergic receptors, reducing sympathetic stimulation.
Question 4 of 5
When the client returns to the room after the percutaneous transluminal coronary angioplasty (PTCA) procedure, which assessment finding should be reported immediately to the physician?
Correct Answer: D
Rationale: Chest pain post-PTCA may indicate re-occlusion or complications like stent thrombosis, requiring immediate reporting.
Question 5 of 5
Which action by a newly hired nursing assistant indicates that the nurse needs to provide more instruction to the nursing assistant on how to accurately assess the client's pulse rate?
Correct Answer: A
Rationale: Using the thumb to check the pulse can result in counting the assistant's own pulse, leading to inaccurate readings.