NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client is diagnosed with pericarditis. Which are the most common signs/symptoms the nurse would expect to find when assessing the client?
Correct Answer: D
Rationale: Pericarditis causes pleuritic chest pain, worse with inspiration (
D), due to pericardial inflammation. Pulsus paradoxus (
A) and rub are less common, fatigue/arthralgias (
B) are nonspecific, and petechiae/hemorrhages (
C) suggest endocarditis.
Question 2 of 5
Which prothrombin time value would be considered normal for a client who is receiving warfarin (Coumadin)?
Correct Answer: B
Rationale: For a client receiving warfarin, the prothrombin time should be 1.5 to 2 times the normal value (11 to 12.5 seconds). Twenty seconds falls within this therapeutic range. Twelve seconds is normal for someone not on warfarin. Sixty seconds is normal for a partial thromboplastin time (PTT) test, and 98 seconds would be therapeutic for heparin, not warfarin.
Question 3 of 5
Where is the correct placement for the nurse's hands before administering cardiac compressions?
Correct Answer: A
Rationale: Hands are placed on the lower half of the sternum (center of the chest) for effective CPR compressions.
Question 4 of 5
The nurse enters the client's room and notes an unconscious client with an absence of respirations and no pulse or blood pressure. The concept of perfusion is identified by the nurse. Which should the nurse implement first?
Correct Answer: D
Rationale: No pulse/respirations indicate cardiac arrest; pushing the Code Blue button (
D) initiates the code team. Notifying HCP (
A), RRT (
B), or checking telemetry (
C) delay resuscitation.
Question 5 of 5
The nurse is teaching a class on valve replacements. Which statement identifies a disadvantage of having a biological tissue valve replacement?
Correct Answer: D
Rationale: Biological valves (
D) have limited durability, often requiring replacement. Anticoagulation (
A) is for mechanical valves, infections (
B) are not easier, and thromboembolism (
C) is lower but not a disadvantage.