NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client has chronic atrial fibrillation. Which discharge teaching should the nurse discuss with the client?
Correct Answer: A
Rationale: Atrial fibrillation requires anticoagulation, increasing bleeding risk; a soft-bristle toothbrush (
A) prevents gum bleeding. PTT (
B) monitors heparin, not warfarin, pacemakers (
C) are unrelated, and cardioversion (
D) is not routine.
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 nurse is administering morning medications to clients on a telemetry unit. Which medication would the nurse question?
Correct Answer: C
Rationale: Enalapril (
C) is contraindicated with hypotension (BP 86/64), risking further BP drop. Furosemide with K+ 3.6 (
A), digoxin for AF (
B), and morphine for chest pain (
D) are appropriate.
Question 4 of 5
The nurse is working with a group of new graduates on a medical-surgical unit. Which should the nurse explain about completing first morning rounds on clients?
Correct Answer: A
Rationale: A quick 'down and dirty' assessment (
A) prioritizes client stability post-report. Bathing (
B), hygiene (
C), and room prep (
D) are secondary to safety.
Question 5 of 5
The charge nurse is making assignments for clients on a cardiac unit. Which client should the charge nurse assign to a new graduate nurse?
Correct Answer: C
Rationale: A client scheduled for cardiac catheterization (
C) is stable, suitable for a new graduate. MI (
A), unstable angina (
B), and chest pain (
D) require experienced care.