NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
An older adult is scheduled for coronary arteriography during a cardiac catheterization. Which nursing intervention will be essential as she recovers from the diagnostic procedure on the hospital unit?
Correct Answer: D
Rationale: Assessing the arterial puncture site is essential to detect complications like bleeding or hematoma post-coronary arteriography.
Question 2 of 5
The licensed practical nurse (LPN) is assisting the registered nurse (RN) in developing the nursing care plan for an older adult who has congestive heart failure. Which nursing diagnosis is most likely to be included?
Correct Answer: D
Rationale: Activity intolerance is common in congestive heart failure due to reduced cardiac output and fatigue. Fluid volume excess, not deficit, is typical, and communication or pain are less likely.
Question 3 of 5
The nurse informs the client that the correct way to administer nitroglycerin is to place one tablet where?
Correct Answer: C
Rationale: Sublingual nitroglycerin is placed under the tongue for rapid absorption into the bloodstream to relieve angina.
Question 4 of 5
A male client with angina pectoris has been having an increased number of episodes of pain recently. He is admitted for observation. During the admission interview, he tells the nurse that he has been having chest pain during the last week. Which statement by the client would be of greatest concern to the nurse?
Correct Answer: C
Rationale: Chest pain at rest, such as while watching television, is concerning as it may indicate unstable angina or impending myocardial infarction, requiring urgent evaluation. Pain with activity, eating, or radiating to the arm is typical of angina but less immediately alarming.
Question 5 of 5
Which client would most likely be misdiagnosed for having a myocardial infarction?
Correct Answer: C
Rationale: A 40-year-old Hispanic female with normal ECG (
C) is most likely to be misdiagnosed, as women often present atypically and normal ECGs can occur in MI. Typical symptoms (
A), elevated troponin (
B), and normal CK-MB at 12 hours (
D) are less likely to be missed.