NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 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 2 of 5
The client diagnosed with pericarditis is experiencing cardiac tamponade. Which collaborative intervention should the nurse anticipate for this client?
Correct Answer: A
Rationale: Cardiac tamponade requires pericardiocentesis (
A) to remove fluid. Enzymes (
B), ECG (
C), and heart/lung sounds (
D) are supportive but not primary.
Question 3 of 5
Which nursing diagnosis would be priority for the client diagnosed with myocarditis?
Correct Answer: D
Rationale: Myocarditis impairs cardiac function, making activity intolerance (
D) the priority due to reduced cardiac output. Anxiety (
A), injury (
B), and increased output (
C) are less immediate or incorrect.
Question 4 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 5 of 5
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.
Correct Answer: A,E,F
Rationale: Monitoring BP/apical rate (
A), anticoagulation status (E), and neurological status (F) address AF-related perfusion risks (clots, stroke). I/O (
B) is for fluid status, HOB elevation (
C) is for CHF, and Buerger Allen (
D) is for PAD.