NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 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 2 of 5
The client is one (1) day postoperative coronary artery bypass surgery. The client complains of chest pain. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Chest pain post-CABG may indicate complications. Assessing the dressing and vital signs (
B) identifies bleeding or instability. Morphine (
A), repositioning (
C), and telemetry (
D) follow.
Question 3 of 5
The client is experiencing multifocal premature ventricular contractions. Which antidysrhythmic medication would the nurse expect the healthcare provider to order for this client?
Correct Answer: A
Rationale: Amiodarone (
A) treats ventricular dysrhythmias like PVCs. Atropine (
B) is for bradycardia, digoxin (
C) for heart failure/AF, and adenosine (
D) for SVT.
Question 4 of 5
The nurse is told in report the client has aortic stenosis. Which anatomical position should the nurse auscultate to assess the murmur?
Correct Answer: A
Rationale: Aortic stenosis murmur is best heard at the second intercostal space, right sternal notch (
A), where the aortic root is closest. Erb’s point (
B), left sternal notch (
C), and fourth space (
D) are for other murmurs.
Question 5 of 5
The charge nurse is making shift assignments. Which client would be most appropriate for the charge nurse to assign to a new graduate who just completed orientation to the medical floor?
Correct Answer: A
Rationale: Diagnostic testing for valvular disease (
A) is stable, suitable for a new graduate. Post-MI (
B), SVT (
C), and high INR (
D) require experienced care.