NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with congestive heart failure is complaining of leg cramps at night. Which nursing interventions should be implemented?
Correct Answer: B
Rationale: Leg cramps in CHF may indicate hypokalemia from diuretics. Monitoring potassium and assessing potassium-rich food intake (
B) is appropriate. Edema/diuretic timing (
A), weight/elevation (
C), and ambulation/stretching (
D) are less directly related.
Question 2 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 3 of 5
The intensive care department nurse is assessing the client who is 12 hours post-myocardial infarction. The nurse assesses an S3 heart sound. Which intervention should the nurse implement?
Correct Answer: A
Rationale: An S3 heart sound post-MI (
A) indicates heart failure, requiring HCP notification. Elevating HOB (
B) is supportive, documenting as normal (
C) is incorrect, and morphine (
D) is for pain.
Question 4 of 5
The client's telemetry reading shows a P wave before each QRS complex and the rate is 78. Which action should the nurse implement?
Correct Answer: A
Rationale: P wave before QRS at rate 78 (
A) is normal sinus rhythm, requiring documentation. ECG (
B), digoxin (
C), and enzymes (
D) are unnecessary.
Question 5 of 5
Which laboratory data confirm the diagnosis of congestive heart failure?
Correct Answer: D
Rationale: Elevated BNP (
D) is specific for CHF, reflecting ventricular stress. CXR (
A) shows fluid but is not diagnostic, liver tests (
B) and BUN (
C) are nonspecific.