Questions 37

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Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions

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Question 1 of 5

The client has just returned from a cardiac catheterization. Which assessment data would warrant immediate intervention from the nurse?

Correct Answer: C

Rationale: Refusing to keep the leg straight (
C) risks bleeding from the femoral site, requiring immediate intervention. Normal BP/pulse (
A), intact dressing (
B), and no numbness (
D) are expected.

Question 2 of 5

The client is admitted to the medical unit to rule out carditis. Which question should the nurse ask the client during the admission interview to support this diagnosis?

Correct Answer: B

Rationale: Rheumatic fever (
B) is a major cause of carditis, especially in children, making it the most relevant question. Sore throat (
A) is less specific, family history (
C) is rare, and OTC meds (
D) are unrelated.

Question 3 of 5

The client with infective endocarditis is admitted to the medical department. Which health-care provider’s order should be implemented first?

Correct Answer: B

Rationale: Blood cultures (
B) are obtained first in endocarditis to identify the pathogen before antibiotics (
A) obscure results. Echocardiogram (
C) and bedrest (
D) follow.

Question 4 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 5 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for four clients on a telemetry unit. Which nursing task would be best for the nurse to delegate to the UAP?

Correct Answer: D

Rationale: Positioning for an x-ray (
D) is within the UAP’s scope and safe. Smoking (
A) is inappropriate, ICU transport (
B) requires nursing judgment, and discharge teaching (
C) is a nursing responsibility.

Similar Questions

The client diagnosed with rule-out myocardial infarction is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?
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?
The client is in ventricular fibrillation. Which interventions should the nurse implement? Select all that apply.
The nurse identifies the concept of altered tissue perfusion related to a client admitted with atrial fibrillation. Which interventions should the nurse implement? Select all that apply.
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?

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