NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client comes to the emergency department saying, 'I am having a heart attack.' Which question is most pertinent when assessing the client?
Correct Answer: A
Rationale: Describing chest pain (
A) is most pertinent to differentiate cardiac from non-cardiac causes. Activity (
B), diet (
C), and positional pain (
D) are secondary.
Question 2 of 5
Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that the client is experiencing a myocardial infarction?
Correct Answer: B
Rationale: MI causes diaphoresis and cool, clammy skin (
B) due to sympathetic activation. Epigastric pain/pyrosis (
A) suggest GI issues, claudication/pallor (
C) indicate PAD, and JVD/edema (
D) suggest heart failure.
Question 3 of 5
The client who has just had a percutaneous balloon valvuloplasty is in the recovery room. Which intervention should the Post Anesthesia Care Unit nurse implement?
Correct Answer: D
Rationale: Valvuloplasty is performed via femoral access, so keeping the leg straight (
D) prevents bleeding. Chest tubes (
A), dressings (
B), and ET tubes (
C) are not involved.
Question 4 of 5
Which client would the nurse suspect of having a mitral valve prolapse?
Correct Answer: B
Rationale: Mitral valve prolapse is common in Marfan’s syndrome (
B) due to connective tissue defects. CHF (
A), atrial fibrillation (
C), and Down syndrome (
D) are not strongly associated.
Question 5 of 5
The client is in complete heart block. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Complete heart block may respond to atropine (
B) to increase heart rate acutely. Pacemaker (
A), ECG (
C), and HCP notification (
D) follow if atropine fails.