NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
An adult client is admitted to the hospital with peripheral vascular disease of the lower extremities. He has several ischemic ulcers on each ankle and lower leg area. Other parts of his skin are shiny and taut with loss of hair. A primary nursing goal for this client should be to do which of the following?
Correct Answer: C
Rationale: Protecting from injury is critical for a client with peripheral vascular disease and ischemic ulcers to prevent infection and further tissue damage. Other goals are secondary.
Question 2 of 5
Based on the client's complaint, the nurse would expect the pain to have which possible effect on the vital signs?
Correct Answer: B
Rationale: Acute pain activates the sympathetic nervous system, increasing pulse rate due to stress response.
Question 3 of 5
After the coronary arteriogram, the nurse must keep the client flat in bed with the affected leg in which position?
Correct Answer: A
Rationale: Keeping the leg extended prevents bleeding or hematoma at the femoral artery puncture site by minimizing movement.
Question 4 of 5
Which value should the nurse report immediately to the physician?
Correct Answer: B
Rationale: Potassium of 2.5 mEq/L (hypokalemia) is critical, especially with diuretics, risking arrhythmias.
Question 5 of 5
Please indicate with an X the best anatomic area for the nurse to auscultate mitral valve sounds.
Correct Answer: A
Rationale: Mitral valve sounds are best heard at the apex (fifth intercostal space, midclavicular line).