NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with a myocardial infarction asks the nurse, 'Why do I have to rest and take it easy? My chest doesn’t hurt anymore.' Which statement would be the nurse’s best response?
Correct Answer: A
Rationale: Explaining that the heart needs 4–6 weeks to heal (
A) is accurate and understandable. Necrosis/dysrhythmias (
B) is technical, doctor’s orders (
C) dismiss patient autonomy, and danger (
D) is vague.
Question 2 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 3 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 4 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 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.