NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 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?
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 2 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 3 of 5
The client diagnosed with pericarditis is complaining of increased pain. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Increased pain in pericarditis may indicate complications like tamponade. Assessing for cardiac complications (
C) is the priority. Oxygen (
A), urinary output (
B), and spirometry (
D) are secondary.
Question 4 of 5
The nurse is assisting with a synchronized cardioversion on a client in atrial fibrillation. When the machine is activated, there is a pause. What action should the nurse take?
Correct Answer: A
Rationale: A pause in synchronized cardioversion is normal as the machine syncs with the QRS complex; wait for discharge (
A). 'All clear' (
B) is for defibrillation, checking client (
C) is premature, and increasing joules (
D) is incorrect.
Question 5 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?
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.