NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with a myocardial infarction (MI) is being discharged. Which discharge instruction(s) should the nurse teach the client?
Correct Answer: A,B,C
Rationale: Instructing to call HCP for chest pain (
A), discussing sexual activity (
B), and explaining nitroglycerin (
C) ensure safety and recovery. HOB elevation (
D) is for CHF, not MI.
Question 2 of 5
The nurse is discussing the importance of exercise with the client diagnosed with coronary artery disease. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Walking 15 minutes 3 times a week (
B) is a safe, aerobic exercise for CAD. Isometric exercises (
A) increase BP, cold weather (
C) is a precaution, and open-toed shoes (
D) are irrelevant.
Question 3 of 5
The client shows ventricular fibrillation on the telemetry at the nurse’s station. Which action should the telemetry nurse implement first?
Correct Answer: C
Rationale: Ventricular fibrillation is a code situation. Calling a STAT code (
C) initiates the response team. Epinephrine (
A), defibrillation (
B), and CPR (
D) follow code activation.
Question 4 of 5
Which intervention should the nurse implement when administering a loop diuretic to a client diagnosed with coronary artery disease?
Correct Answer: B
Rationale: Loop diuretics cause hypokalemia, which can precipitate dysrhythmias in CAD. Assessing potassium (
B) is critical. Pulse (
A), glucose (
C), and SpO2 (
D) are less directly related.
Question 5 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.