NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
During cardiopulmonary resuscitation (CPR), the nurse compresses the chest of an adult victim at which rate?
Correct Answer: D
Rationale: Adult CPR requires 100-120 compressions per minute to restore circulation effectively.
Question 2 of 5
Which assessment finding should signal the nurse to withhold applying the client's nitroglycerin patch and notify the physician?
Correct Answer: D
Rationale: A blood pressure of 94/62 mm Hg indicates hypotension, a contraindication for nitroglycerin, which can further lower blood pressure.
Question 3 of 5
During cardiopulmonary resuscitation (CPR), the nurse compresses the chest of an adult victim at which rate?
Correct Answer: D
Rationale: Adult CPR requires 100-120 compressions per minute to restore circulation effectively.
Question 4 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 5 of 5
An adult client is admitted to the hospital with peripheral vascular disease of the lower extremities. He has several ischemic ulcers on each ankle and lower leg area. Other parts of his skin are shiny and taut with loss of hair. A primary nursing goal for this client should be to do which of the following?
Correct Answer: C
Rationale: Protecting from injury is critical for a client with peripheral vascular disease and ischemic ulcers to prevent infection and further tissue damage. Other goals are secondary.