NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
An adult male is being evaluated for possible dysrhythmia and is to be placed on a Holter monitor. What instructions should the nurse give him to ensure that this test provides a comprehensive picture of his cardiac status?
Correct Answer: C
Rationale: Keeping a diary of activities correlates symptoms or dysrhythmias with specific triggers, providing a comprehensive picture for diagnosis.
Question 2 of 5
Which assessment finding would most likely indicate that a client has thrombophlebitis in the leg?
Correct Answer: C
Rationale: Red, shiny skin is a common sign of thrombophlebitis due to inflammation and impaired venous return. Diminished pulses, color changes with elevation, or coolness are more indicative of arterial issues.
Question 3 of 5
A low-sodium diet has been ordered for an adult client. The nurse knows that the client understands his low-sodium diet when the client selects which menu?
Correct Answer: B
Rationale: Baked chicken, mashed potatoes, and green beans are naturally low in sodium. Steak, hot dogs, and chicken noodle soup are typically high in sodium.
Question 4 of 5
Which laboratory results would the nurse expect to be elevated if the client had a myocardial infarction (MI)?
Correct Answer: A
Rationale: Troponin and cardiac isoenzymes (e.g., CK-M
B) are specific markers of myocardial damage in MI.
Question 5 of 5
After providing medication instructions, the best evidence that the client knows this drug's potential side effects is when the client states it may cause which adverse effect?
Correct Answer: A
Rationale: Atorvastatin (Lipitor) can cause muscle pain (myalgia) as a common side effect, potentially progressing to rhabdomyolysis in severe cases.