NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client has an implantable cardioverter defibrillator (ICD). Which discharge instructions should the nurse teach the client?
Correct Answer: C
Rationale: Carrying the cell phone on the opposite side (
C) minimizes electromagnetic interference with the ICD. Lifting limits (
A) are typically 10–15 lbs initially, driving (
B) is restricted temporarily, and microwaves (
D) are safe.
Question 2 of 5
The client with coronary artery disease is prescribed transdermal nitroglycerin, a coronary vasodilator. Which behavior indicates the client understands the discharge teaching concerning this medication?
Correct Answer: B
Rationale: Removing the old patch (
B) ensures proper dosing and prevents overdose. Sublingual (
A) is incorrect, hairy areas (
C) reduce adhesion, and patches are changed every 24 hours (
D).
Question 3 of 5
The unlicensed assistive personnel (UAP) tells the primary nurse that the client diagnosed with coronary artery disease is having chest pain. Which action should the nurse take first?
Correct Answer: D
Rationale: Chest pain in CAD requires immediate nurse assessment (
D) to determine severity and cause. Vital signs (
A), telemetry (
B), and notifying HCP (
C) follow assessment.
Question 4 of 5
What is the priority problem in the client diagnosed with congestive heart failure?
Correct Answer: B
Rationale: Decreased cardiac output (
B) is the primary problem in CHF, causing symptoms like fluid overload (
A). Activity intolerance (
C) and knowledge deficit (
D) are secondary.
Question 5 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.