Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client?

Correct Answer: A

Rationale: CHF exacerbation causes fluid overload, leading to tachycardia (apical pulse 110) and severe edema (4+ pitting,
A). Thick sputum/crackles (
B) suggest pneumonia, sleeping flat with eupnea (
C) is unlikely, and normal CRT (
D) doesn’t reflect CHF severity.

Question 2 of 5

The nurse is caring for a client who goes into ventricular tachycardia. Which intervention should the nurse implement first?

A. Call a code immediately. B. Assess the client for a pulse. C. Begin chest compressions. D. Continue to monitor the client.

Correct Answer: B

Rationale: Ventricular tachycardia requires assessing for a pulse (
B) to determine if it’s pulseless (needing CPR,
C) or stable (medication). Calling a code (
A) or monitoring (
D) depends on pulse status.

Question 3 of 5

The elderly client has coronary artery disease. Which question should the nurse ask the client during the client teaching?

A. Do you have a daily bowel movement?' B. Do you get yearly chest x-rays (CXRs)?' C. Are you sexually active?' D. Have you had any weight change?'

Correct Answer: D

Rationale: Weight change (
D) may indicate fluid retention or malnutrition, relevant to CAD management. Bowel movements (
A), CXRs (
B), and sexual activity (
C) are less directly related.

Question 4 of 5

According to the nurse, when is the correct time to note the diastolic blood pressure reading?

A. When the loud knocking sounds become muffled B. When the last loud knocking sound is heard C. When the swishing sound is a second D. When the swishing sound becomes faint

Correct Answer: B

Rationale: The diastolic blood pressure is recorded at the point when the last loud knocking sound (Korotkoff phase V) is heard, indicating the pressure at which blood flow is fully restored.

Question 5 of 5

The female client is diagnosed with rheumatic fever and prescribed penicillin, an antibiotic. Which statement indicates the client needs more teaching concerning the discharge teaching?

A. I must take all the prescribed antibiotics.' B. I may get a vaginal yeast infection with penicillin.' C. I will have no problems as long as I take my medication.' D. My throat culture was positive for a streptococcal infection.'

Correct Answer: C

Rationale: Assuming no problems with medication (
C) ignores potential complications like recurrence, indicating a need for teaching. Completing antibiotics (
A), yeast infection (
B), and strep culture (
D) are correct.

Cardiac Disorders NCLEX Questions | Nurselytic

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