NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
If the chest pain is not relieved after taking one nitroglycerin tablet, the nurse should teach the client to take what action?
Correct Answer: A
Rationale: If angina persists after one nitroglycerin tablet, another can be taken every 5 minutes up to three doses, then seek medical help if unrelieved.
Question 2 of 5
Which response by the nurse is most appropriate at this time?
Correct Answer: A
Rationale: Asking about concerns encourages the client to express fears, facilitating emotional support and reducing anxiety.
Question 3 of 5
When the client asks the nurse how propranolol helps to prevent angina, what is the best explanation?
Correct Answer: B
Rationale: Propranolol, a beta-blocker, reduces heart rate and contractility, decreasing myocardial oxygen demand and preventing angina.
Question 4 of 5
A client with angina will have to make lifestyle modifications. Which of the following statements by the client would indicate that he understands the necessary modifications in lifestyle to prevent angina attacks?
Correct Answer: D
Rationale: Walking slowly and resting frequently helps prevent angina by reducing cardiac workload. Eating one meal a day, staying in bed, or only stopping during pain do not address preventive lifestyle modifications.
Question 5 of 5
What is the best explanation for the drug therapy in this situation?
Correct Answer: B
Rationale: Aspirin's antiplatelet effect prevents thrombus formation at the PTCA site, reducing the risk of re-occlusion.