Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

The client diagnosed with pericarditis is being discharged home. Which intervention should the nurse include in the discharge teaching?

Correct Answer: A

Rationale: Rest and sleep (
A) reduce cardiac demand in pericarditis. Occupational therapy (
B), oxygen (
C), and valve surgery (
D) are not indicated.

Question 2 of 5

The client is being evaluated for valvular heart disease. Which information would be most significant?

A. The client has a history of coronary artery disease. B. There is a family history of valvular heart disease. C. The client has a history of smoking for 10 years. D. The client has a history of rheumatic heart disease.

Correct Answer: D

Rationale: Rheumatic heart disease (
D) is a major cause of valvular disease, especially mitral/aortic. CAD (
A), family history (
B), and smoking (
C) are less directly causative.

Question 3 of 5

The nurse is functioning in the role of medication nurse during a code. Which should the nurse implement when administering amiodarone for ventricular tachycardia?

A. Mix the medication in 100 mL of fluid and administer rapidly. B. Push the amiodarone directly into the nearest IV port and raise the arm. C. Question the physician’s order because it is not ACLS recommended. D. Administer via an IV pump based on mg/kg/min.

Correct Answer: D

Rationale: Amiodarone for VT is administered via IV pump (
D) per ACLS (e.g., 150 mg over 10 min). Rapid infusion (
A) risks hypotension, direct push (
B) is incorrect, and questioning (
C) is unnecessary.

Question 4 of 5

Which assessment finding documented by the nurse provides the best evidence that the client has a bacterial infection?

A. Chest pain B. Dry cough C. Fever D. Dyspnea

Correct Answer: C

Rationale: Fever is a hallmark of bacterial infection, such as in endocarditis.

Question 5 of 5

The charge nurse is making shift assignments for the medical floor. Which client should be assigned to the most experienced registered nurse?

A. The client diagnosed with congestive heart failure who is being discharged in the morning. B. The client who is having frequent incontinent liquid bowel movements and vomiting. C. The client with an apical pulse rate of 116, a respiratory rate of 26, and a blood pressure of 94/62. D. The client who is complaining of chest pain on inspiration and a nonproductive cough.

Correct Answer: C

Rationale: Tachycardia, tachypnea, and hypotension (
C) suggest instability, requiring experienced nursing care. Discharging CHF (
A), incontinence/vomiting (
B), and pleuritic pain (
D) are less acute.

Cardiac Disorders NCLEX Questions | Nurselytic

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