NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client had open-heart surgery to replace the mitral valve. Which intervention should the intensive care unit nurse implement?
Correct Answer: A
Rationale: Fluid restriction (
A) prevents overload post-mitral valve surgery. Supine position (
B) increases preload, SpO2 90% (
C) is too low, and TPN (
D) is not routine.
Question 2 of 5
The nurse enters the client's room and notes an unconscious client with an absence of respirations and no pulse or blood pressure. The concept of perfusion is identified by the nurse. Which should the nurse implement first?
Correct Answer: D
Rationale: No pulse/respirations indicate cardiac arrest; pushing the Code Blue button (
D) initiates the code team. Notifying HCP (
A), RRT (
B), or checking telemetry (
C) delay resuscitation.
Question 3 of 5
Where is the correct placement for the nurse's hands before administering cardiac compressions?
Correct Answer: A
Rationale: Hands are placed on the lower half of the sternum (center of the chest) for effective CPR compressions.
Question 4 of 5
Which intervention should the nurse implement with the client diagnosed with dilated cardiomyopathy?
Correct Answer: B
Rationale: Dilated cardiomyopathy may require heart transplant (
B) as definitive treatment in severe cases. Supine position (
A) increases preload, CABG (
C) is for CAD, and calcium channel blockers (
D) are not first-line.
Question 5 of 5
The client had open-heart surgery to replace the mitral valve. Which intervention should the intensive care unit nurse implement?
Correct Answer: A
Rationale: Fluid restriction (
A) prevents overload post-mitral valve surgery. Supine position (
B) increases preload, SpO2 90% (
C) is too low, and TPN (
D) is not routine.