NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
If the client's pain is due to a myocardial infarction (MI), which prescribed medication would be most helpful?
Correct Answer: C
Rationale: Aspirin is critical in MI to inhibit platelet aggregation and prevent further thrombus formation.
Question 2 of 5
A client is being seen in the clinic to rule out (R/O) mitral valve stenosis. Which assessment data would be most significant?
Correct Answer: A
Rationale: Shortness of breath on exertion (
A) is a hallmark of mitral valve stenosis due to impaired left atrial emptying. JVD/edema (
B), postprandial pain (
C), and liver/abdominal edema (
D) suggest right-sided failure or other causes.
Question 3 of 5
A male client with angina pectoris has been having an increased number of episodes of pain recently. He is admitted for observation. During the admission interview, he tells the nurse that he has been having chest pain during the last week. Which statement by the client would be of greatest concern to the nurse?
Correct Answer: C
Rationale: Chest pain at rest, such as while watching television, is concerning as it may indicate unstable angina or impending myocardial infarction, requiring urgent evaluation. Pain with activity, eating, or radiating to the arm is typical of angina but less immediately alarming.
Question 4 of 5
To provide adequate care for the client with worsening left-sided heart failure, the intensive care unit (ICU) nurse should be a full of the following on a daily basis?
Correct Answer: B,D
Rationale: Peripheral edema and weight are key indicators of fluid status in heart failure.
Question 5 of 5
The nurse knows that the client understands how to determine when the nitroglycerin tablets need replacing when the client makes which statement?
Correct Answer: C
Rationale: Fresh nitroglycerin tablets cause a tingling sensation under the tongue; loss of this sensation indicates loss of potency.