NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Because the client is exhibiting signs and symptoms of congestive heart failure (CHF), which position suggested by the nurse is most beneficial for the client at this time?
Correct Answer: D
Rationale: Semi-Fowler's position (30-45 degrees) reduces preload and eases breathing in CHF.
Question 2 of 5
When obtaining a health history from this client, which finding strongly suggests that the client is hypertensive? Select all that apply.
Correct Answer: A,C,E
Rationale: Unexplained nosebleeds, waking to urinate at night (nocturia), and dizziness are symptoms associated with hypertension due to increased vascular pressure, kidney effects, and cerebral hypoperfusion, respectively.
Question 3 of 5
The client is exhibiting sinus bradycardia, is complaining of syncope and weakness, and has a BP of 98/60. Which collaborative treatment should the nurse anticipate being implemented?
Correct Answer: C
Rationale: Symptomatic bradycardia (syncope, hypotension) often requires a pacemaker (
C). Thrombolytics (
A) are for MI, assessment (
B) is ongoing, and cardioversion (
D) is for tachydysrhythmias.
Question 4 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 5 of 5
After the femoral artery has been cannulated and the client is returned to the room, what should the nurse plan to do first?
Correct Answer: A
Rationale: Palpating distal pulses first ensures adequate circulation post-catheterization, detecting complications like arterial occlusion.