Pediatric Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

The 45-year-old male client diagnosed with essential hypertension has decided not to take his medications. The client's BP is 178/94, indicating a perfusion issue. Which question should the nurse ask the client first?

Correct Answer: D

Rationale: Asking why the client stopped (
D) is open-ended, identifying barriers like side effects (
B) or asymptomatic disease (
C). Financial issues (
A) are secondary.

Question 2 of 5

The nurse is assessing the client diagnosed with congestive heart failure. Which signs/symptoms would indicate that the medical treatment has been effective?

A. The client's peripheral pitting edema has gone from 3+ to 4+. B. The client is able to take the radial pulse accurately. C. The client is able to perform ADLs without dyspnea. D. The client has minimal jugular vein distention.

Correct Answer: C,D

Rationale: Effective CHF treatment reduces fluid overload, allowing ADLs without dyspnea (
C) and minimal JVD (
D). Increased edema (
A) indicates worsening, and pulse-taking (
B) is a skill, not a treatment outcome.

Question 3 of 5

The nurse is caring for clients on a cardiac floor. Which client should the nurse assess first?

A. The client with three (3) unifocal PVCs in one (1) minute. B. The client diagnosed with coronary artery disease who wants to ambulate. C. The client diagnosed with mitral valve prolapse with an audible S3. D. The client diagnosed with pericarditis who is in normal sinus rhythm.

Correct Answer: C

Rationale: An S3 in mitral valve prolapse (
C) suggests heart failure, requiring immediate assessment. Unifocal PVCs (
A) are less urgent, ambulation (
B) is routine, and normal rhythm in pericarditis (
D) is stable.

Question 4 of 5

The client diagnosed with an ST elevation myocardial infarction (STEMI) has developed 2+ edema bilaterally of the lower extremities and has crackles in all lung fields. Which should the nurse implement first?

A. Notify the health care provider (HCP). B. Assess what the client ate at the last meal. C. Request a STAT 12 lead electrocardiogram. D. Administer furosemide IVP.

Correct Answer: A

Rationale: Edema and crackles post-STEMI suggest heart failure; notifying the HCP (
A) ensures timely intervention. Diet (
B), ECG (
C), and furosemide (
D) follow HCP orders.

Question 5 of 5

Which population is at a higher risk for dying from a myocardial infarction?

A. Caucasian males. B. Hispanic females. C. Asian males. D. African American females.

Correct Answer: D

Rationale: African American females (
D) have higher MI mortality rates due to increased prevalence of risk factors like hypertension and diabetes, and disparities in healthcare access. Caucasian males (
A), Hispanic females (
B), and Asian males (
C) have lower relative risk.

Pediatric Cardiac Disorders NCLEX Questions | Nurselytic

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