NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Before administering the digoxin (Lanoxin) to the client, what nursing assessment is essential?
Correct Answer: A
Rationale: Check heart rate; withhold digoxin if <60 bpm to prevent toxicity.
Question 2 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.
Question 3 of 5
An adult client who has peripheral vascular disease of the lower extremities was observed smoking in the waiting area. What is the most appropriate response for the nurse to make regarding the client's smoking?
Correct Answer: B
Rationale: Smoking causes vasoconstriction, worsening blood flow in peripheral vascular disease, which directly impacts the condition. Other responses are less specific to the client’s diagnosis.
Question 4 of 5
An adult is admitted with venous thromboembolism. What treatment should the nurse expect during the acute stage?
Correct Answer: A
Rationale: Elastic stockings promote venous return and reduce swelling in the acute stage of venous thromboembolism. Ambulation, passive exercises, or ice packs may increase risk or be less effective.
Question 5 of 5
The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client?
Correct Answer: A
Rationale: CHF exacerbation causes fluid overload, leading to tachycardia (apical pulse 110) and severe edema (4+ pitting,
A). Thick sputum/crackles (
B) suggest pneumonia, sleeping flat with eupnea (
C) is unlikely, and normal CRT (
D) doesn’t reflect CHF severity.