NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
The home health nurse is assigned a client diagnosed with heart failure. Which should the nurse implement? Select all that apply.
Correct Answer: A,B,C,D,F
Rationale: Sodium restriction (
A), elevating feet (
B), daily weights (
C), edema assessment (
D), and teach-back (F) manage CHF. 3,000 mL fluid (E) risks overload.
Question 3 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 4 of 5
The nurse is assessing the client diagnosed with congestive heart failure. Which signs/symptoms would indicate that the medical treatment has been effective?
Correct Answer: C,D
Rationale: Effective CHF treatment reduces fluid overload, allowing ADLs without dyspnea (
C) and minimal JVD (
D). Increased edema (
A) indicates worsening, and pulse-taking (
B) is a skill, not a treatment outcome.
Question 5 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.