NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
An adult male has a high level of high-density lipoproteins (HDL) in proportion to low-density lipoproteins (LDL). How does this relate to his risk of developing coronary artery disease (CAD)?
Correct Answer: A
Rationale: A high HDL-to-LDL ratio is protective against coronary artery disease, lowering risk due to HDL’s role in removing cholesterol from arteries.
Question 2 of 5
To provide adequate care for the client with worsening left-sided heart failure, the intensive care unit (ICU) nurse should be a full of the following on a daily basis?
Correct Answer: B,D
Rationale: Peripheral edema and weight are key indicators of fluid status in heart failure.
Question 3 of 5
Which data would cause the nurse to question administering digoxin to a client diagnosed with congestive heart failure?
Correct Answer: A
Rationale: Hypokalemia (K+ 3.2,
A) increases digoxin toxicity risk, warranting caution. Digoxin level 1.2 (
B) is therapeutic, pulse 64 (
C) is normal, and no yellow haze (
D) is expected.
Question 4 of 5
The nurse counts an adult's apical heart beat at 110 beats per minute. The nurse describes this as:
Correct Answer: C
Rationale: Tachycardia in an adult is defined as a heart rate above 100 beats per minute. Asystole is cardiac arrest with no heartbeat. Bigeminy refers to heartbeats occurring in pairs. Bradycardia is a heart rate of 60 beats or less per minute.
Question 5 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.