NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client is being evaluated for valvular heart disease. Which information would be most significant?
Correct Answer: D
Rationale: Rheumatic heart disease (
D) is a major cause of valvular disease, especially mitral/aortic. CAD (
A), family history (
B), and smoking (
C) are less directly causative.
Question 2 of 5
The best evidence that the client understands the nurse's instructions regarding dietary restrictions is if the client states to avoid which food?
Correct Answer: A
Rationale: Canned soup is high in sodium, which should be avoided in a low-sodium diet for hypertension management. The other options are generally low-sodium and suitable.
Question 3 of 5
After the coronary artery bypass graft (CABG) surgery, which assessment finding provides the best evidence that collateral circulation at the donor graft site is adequate?
Correct Answer: C
Rationale: Easy movement of the operative leg indicates adequate blood flow to the donor site, suggesting good collateral circulation.
Question 4 of 5
Which data would cause the nurse to question administering digoxin to a client diagnosed with congestive heart failure?
Correct Answer: A
Rationale: Hypokalemia (K+ 3.2,
A) increases digoxin toxicity risk, warranting caution. Digoxin level 1.2 (
B) is therapeutic, pulse 64 (
C) is normal, and no yellow haze (
D) is expected.
Question 5 of 5
Which interventions should the nurse discuss with the client diagnosed with coronary artery disease? Select all that apply.
Correct Answer: A,B,C
Rationale: Stopping smoking (
A), exercising (
B), and vasodilators (
C) reduce CAD progression. Carotid endarterectomy (
D) is for stroke risk, and monounsaturated fats (E) are beneficial but not high amounts.