NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
An older adult is admitted to the hospital with symptoms of severe dyspnea, orthopnea, diaphoresis, bubbling respirations, and cyanosis. He states that he is afraid 'something bad is about to happen.' How should the nurse position this client?
Correct Answer: A
Rationale: Sitting upright reduces pulmonary congestion and improves breathing in clients with acute heart failure symptoms like dyspnea and orthopnea.
Question 2 of 5
Which assessment finding offers the best evidence that the client can tolerate the activity involved in getting out of bed?
Correct Answer: C
Rationale: Stable heart rate indicates the heart can handle the increased demand of activity.
Question 3 of 5
The nurse provides discharge instructions for a client who has recovered after a cardiac catheterization. Which instructions should be included? Select all that apply.
Correct Answer: A,C,D
Rationale: Showering prevents infection, generous fluids help flush contrast dye, and reporting worsening pain detects complications. Leg exercises, double flushing, and daily dressing changes are not standard.
Question 4 of 5
If the client develops digoxin toxicity, what would the nurse expect the client to exhibit?
Correct Answer: A
Rationale: Digoxin toxicity commonly causes anorexia, nausea, and vomiting due to gastrointestinal effects.
Question 5 of 5
The nurse checking the client's leg incision is aware that which is the most common blood vessel used in CABG surgery?
Correct Answer: A
Rationale: The saphenous vein is commonly used in CABG due to its accessibility and suitability for grafting.