NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The charge nurse is making shift assignments. Which client would be most appropriate for the charge nurse to assign to a new graduate who just completed orientation to the medical floor?
Correct Answer: A
Rationale: Diagnostic testing for valvular disease (
A) is stable, suitable for a new graduate. Post-MI (
B), SVT (
C), and high INR (
D) require experienced care.
Question 2 of 5
Which client problem has priority for the client with a cardiac dysrhythmia?
Correct Answer: B
Rationale: Dysrhythmias primarily reduce cardiac output (
B), impacting perfusion, making it the priority. Comfort (
A), gas exchange (
C), and activity (
D) are secondary.
Question 3 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for four clients on a telemetry unit. Which nursing task would be best for the nurse to delegate to the UAP?
Correct Answer: D
Rationale: Positioning for an x-ray (
D) is within the UAP’s scope and safe. Smoking (
A) is inappropriate, ICU transport (
B) requires nursing judgment, and discharge teaching (
C) is a nursing responsibility.
Question 4 of 5
The client diagnosed with rule-out myocardial infarction is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?
Correct Answer: C
Rationale: Activity-related chest pain suggests ischemia. Having the client sit (
C) stops exertion, reducing oxygen demand. Nitroglycerin (
A), ECG (
B), and vital signs (
D) follow.
Question 5 of 5
The nurse is developing a discharge-teaching plan for the client diagnosed with congestive heart failure. Which interventions should be included in the plan? Select all that apply.
Correct Answer: A,B,C
Rationale: Weight gain monitoring (
A) detects fluid retention, pulse counting (
B) ensures digoxin safety, and removing salt (
C) reduces sodium intake. Dark urine (
D) is not specific, and furosemide at bedtime (E) causes nocturia, so morning dosing is preferred.