NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client diagnosed with pericarditis is experiencing cardiac tamponade. Which collaborative intervention should the nurse anticipate for this client?
Correct Answer: A
Rationale: Cardiac tamponade requires pericardiocentesis (
A) to remove fluid. Enzymes (
B), ECG (
C), and heart/lung sounds (
D) are supportive but not primary.
Question 2 of 5
Which client teaching should the nurse implement for the client diagnosed with coronary artery disease? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Low-fat/cholesterol diet (
A), walking (
B), stress reduction (
D), and high-fiber diet (E) reduce CAD risk. Salt restriction (
C) is more specific to CHF or hypertension.
Question 3 of 5
The client diagnosed with rule-out myocardial infarction is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?
Correct Answer: C
Rationale: Activity-related chest pain suggests ischemia. Having the client sit (
C) stops exertion, reducing oxygen demand. Nitroglycerin (
A), ECG (
B), and vital signs (
D) follow.
Question 4 of 5
The client is diagnosed with pericarditis. When assessing the client, the nurse is unable to auscultate a friction rub. Which action should the nurse implement?
Correct Answer: C
Rationale: Leaning forward (
C) enhances auscultation of a pericardial friction rub, which may be positional. Notifying HCP (
A), documenting resolution (
B), or chest tube (
D) are premature or unrelated.
Question 5 of 5
The client has just received a mechanical valve replacement. Which behavior by the client indicates the client needs more teaching?
Correct Answer: C
Rationale: Aspirin (
C) is not routinely required post-mechanical valve; warfarin is standard. Antibiotics (
A), soft toothbrush (
B), and rest/activity (
D) are appropriate.