NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
During the admission interview, a client who is admitted for a cardiac catheterization says, 'Every time I eat shrimp I get a rash.' What action is essential for the nurse to take at this time?
Correct Answer: A
Rationale: A shrimp allergy may indicate an iodine allergy, as shellfish contain iodine, which is also present in the dye used for cardiac catheterization. Notifying the physician is essential to assess the risk and consider alternative dyes or premedication. Asking about other foods, instructing the dietary department, or teaching about shellfish dangers are secondary actions.
Question 2 of 5
The nurse enters the client's room and notes an unconscious client with an absence of respirations and no pulse or blood pressure. The concept of perfusion is identified by the nurse. Which should the nurse implement first?
Correct Answer: D
Rationale: No pulse/respirations indicate cardiac arrest; pushing the Code Blue button (
D) initiates the code team. Notifying HCP (
A), RRT (
B), or checking telemetry (
C) delay resuscitation.
Question 3 of 5
The nurse is caring for a client diagnosed with a myocardial infarction who is experiencing chest pain. Which interventions should the nurse implement? Select all that apply.
Correct Answer: B,C
Rationale: Aspirin (
B) reduces clot formation, and oxygen (
C) improves myocardial oxygenation. Morphine IM (
A) delays absorption, supine position (
D) increases preload, and nitroglycerin SC (E) is incorrect; SL is used.
Question 4 of 5
The nurse identifies the concept of tissue perfusion as a client problem. Which is an antecedent of tissue perfusion?
Correct Answer: A
Rationale: CAD (
A) directly impairs cardiac perfusion due to atherosclerosis, an antecedent to perfusion issues. DI (
B), COPD (
C), and fractures (
D) are less directly related.
Question 5 of 5
Before the cardiac catheterization and coronary arteriogram, it is essential for the nurse will be taken about any allergy to iodine or which other substance?
Correct Answer: C
Rationale: Shellfish allergies often indicate a risk of iodine sensitivity, which is critical since contrast dye used in arteriograms contains iodine.