Pediatric Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that the client is experiencing a myocardial infarction?

Correct Answer: B

Rationale: MI causes diaphoresis and cool, clammy skin (
B) due to sympathetic activation. Epigastric pain/pyrosis (
A) suggest GI issues, claudication/pallor (
C) indicate PAD, and JVD/edema (
D) suggest heart failure.

Question 2 of 5

Which statement by the client diagnosed with coronary artery disease indicates that the client understands the discharge teaching concerning diet?

A. I will not eat more than six (6) eggs a week.' B. I should bake or grill any meats I eat.' C. I will drink eight (8) ounces of whole milk a day.' D. I should not eat any type of pork products.'

Correct Answer: B

Rationale: Baking or grilling meats (
B) reduces fat, aligning with a low-fat CAD diet. Six eggs (
A) are excessive, whole milk (
C) is high-fat, and avoiding pork (
D) is overly restrictive.

Question 3 of 5

Which client would the nurse suspect of having a mitral valve prolapse?

A. A 60-year-old female with congestive heart failure. B. A 23-year-old male with Marfan's syndrome. C. An 80-year-old male with atrial fibrillation. D. A 33-year-old female with Down syndrome.

Correct Answer: B

Rationale: Mitral valve prolapse is common in Marfan’s syndrome (
B) due to connective tissue defects. CHF (
A), atrial fibrillation (
C), and Down syndrome (
D) are not strongly associated.

Question 4 of 5

The client with coronary artery disease asks the nurse, 'Why do I get chest pain?' Which statement would be the most appropriate response by the nurse?

A. Chest pain is caused by decreased oxygen to the heart muscle.' B. There is ischemia to the myocardium as a result of hypoxemia.' C. The heart muscle is unable to pump effectively to perfuse the body.' D. Chest pain occurs when the lungs cannot adequately oxygenate the blood.'

Correct Answer: A

Rationale: Chest pain in CAD is due to decreased oxygen to the heart muscle (
A), a clear explanation. Ischemia/hypoxemia (
B) is technical, pumping (
C) relates to heart failure, and lungs (
D) are incorrect.

Question 5 of 5

The nurse is developing a nursing care plan for a client diagnosed with congestive heart failure. A nursing diagnosis of 'decreased cardiac output related to inability of the heart to pump effectively' is written. Which short-term goal would be best for the client?

A. The client will be able to ambulate in the hall by date of discharge. B. The client will have an audible S1 and S2 with no S3 heard by end of shift. C. The client will turn, cough, and deep breathe every two (2) hours. D. The client will have a SaO2 reading of 98% by day two (2) of care.

Correct Answer: B

Rationale: Absence of an S3 heart sound (
B) indicates improved cardiac function, directly addressing decreased cardiac output. Ambulation (
A) is long-term, turning/coughing (
C) is an intervention, and SaO2 of 98% (
D) is less specific to cardiac output.

Pediatric Cardiac Disorders NCLEX Questions | Nurselytic

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