NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
Please indicate with an X the best anatomic area for the nurse to auscultate mitral valve sounds.
Correct Answer: A
Rationale: Mitral valve sounds are best heard at the apex (fifth intercostal space, midclavicular line).
Question 2 of 5
After the coronary arteriogram, the nurse must keep the client flat in bed with the affected leg in which position?
Correct Answer: A
Rationale: Keeping the leg extended prevents bleeding or hematoma at the femoral artery puncture site by minimizing movement.
Question 3 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 4 of 5
The client tells the nurse of being extremely frightened. What is the most appropriate action for the nurse to take at this time?
Correct Answer: A
Rationale: Staying with the client provides emotional support, reducing fear during a crisis.
Question 5 of 5
The nurse obtains adult blood pressure readings on four separate clients. Which client should have a follow-up blood pressure check within 2 months?
Correct Answer: B,C
Rationale: A blood pressure of 132/98 mm Hg indicates stage 1 hypertension (systolic 130-139 or diastolic 90-99 mm Hg), requiring follow-up within 2 months to monitor and manage. The other readings are either normal (118/78) or prehypertension (138/88), which may not require such urgent follow-up.