Pediatric Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

The client is admitted to the emergency department, and the nurse suspects a cardiac problem. Which assessment interventions should the nurse implement? Select all that apply.

Correct Answer: B,C,E

Rationale: Telemetry (
B), saline lock (
C), and STAT ECG (E) assess cardiac status. Urine specimen (
A) and BMP (
D) are not priority for suspected cardiac issues.

Question 2 of 5

The nurse is assessing the client diagnosed with congestive heart failure. Which signs/symptoms would indicate that the medical treatment has been effective?

A. The client's peripheral pitting edema has gone from 3+ to 4+. B. The client is able to take the radial pulse accurately. C. The client is able to perform ADLs without dyspnea. D. The client has minimal jugular vein distention.

Correct Answer: C,D

Rationale: Effective CHF treatment reduces fluid overload, allowing ADLs without dyspnea (
C) and minimal JVD (
D). Increased edema (
A) indicates worsening, and pulse-taking (
B) is a skill, not a treatment outcome.

Question 3 of 5

Which client would the nurse suspect of having a mitral valve prolapse?

A. A 60-year-old female with congestive heart failure. B. A 23-year-old male with Marfan's syndrome. C. An 80-year-old male with atrial fibrillation. D. A 33-year-old female with Down syndrome.

Correct Answer: B

Rationale: Mitral valve prolapse is common in Marfan’s syndrome (
B) due to connective tissue defects. CHF (
A), atrial fibrillation (
C), and Down syndrome (
D) are not strongly associated.

Question 4 of 5

The client diagnosed with congestive heart failure is complaining of leg cramps at night. Which nursing interventions should be implemented?

A. Check the client for peripheral edema and make sure the client takes a diuretic early in the day. B. Monitor the client's potassium level and assess the client's intake of bananas and orange juice. C. Determine if the client has gained weight and instruct the client to keep the legs elevated. D. Instruct the client to ambulate frequently and perform calf-muscle stretching exercises daily.

Correct Answer: B

Rationale: Leg cramps in CHF may indicate hypokalemia from diuretics. Monitoring potassium and assessing potassium-rich food intake (
B) is appropriate. Edema/diuretic timing (
A), weight/elevation (
C), and ambulation/stretching (
D) are less directly related.

Question 5 of 5

The nurse is caring for clients on a cardiac floor. Which client should the nurse assess first?

A. The client with three (3) unifocal PVCs in one (1) minute. B. The client diagnosed with coronary artery disease who wants to ambulate. C. The client diagnosed with mitral valve prolapse with an audible S3. D. The client diagnosed with pericarditis who is in normal sinus rhythm.

Correct Answer: C

Rationale: An S3 in mitral valve prolapse (
C) suggests heart failure, requiring immediate assessment. Unifocal PVCs (
A) are less urgent, ambulation (
B) is routine, and normal rhythm in pericarditis (
D) is stable.

Pediatric Cardiac Disorders NCLEX Questions | Nurselytic

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