Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

The client is exhibiting sinus bradycardia, is complaining of syncope and weakness, and has a BP of 98/60. Which collaborative treatment should the nurse anticipate being implemented?

Correct Answer: C

Rationale: Symptomatic bradycardia (syncope, hypotension) often requires a pacemaker (
C). Thrombolytics (
A) are for MI, assessment (
B) is ongoing, and cardioversion (
D) is for tachydysrhythmias.

Question 2 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?

A. The client is free from chest pain. B. The client's heart rate remains regular. C. The client moves the operative leg easily. D. The client's heart rate remains regular.

Correct Answer: C

Rationale: Easy movement of the operative leg indicates adequate blood flow to the donor site, suggesting good collateral circulation.

Question 3 of 5

Using the following cardiac structures, trace the normal stress in which blood circulates on the left side of the heart. Use all the options.

A. Aorta B. Left ventricle C. Pulmonary veins D. Left atrium E. Mitral valve (correct sequence: 3, 4, 5, 2, 1)

Correct Answer: D

Rationale: Blood flows: pulmonary veins â†’ left atrium â†’ mitral valve â†’ left ventricle â†’ aorta.

Question 4 of 5

Which modification used by the nurse is most appropriate when taking the blood pressure of a client who weighs 250 pounds?

A. The nurse takes the blood pressure on the client's thigh. B. The nurse has the client lie down during the assessment. C. The nurse pumps the manometer up to 250 mm Hg. D. The nurse uses an extra-large blood pressure cuff.

Correct Answer: D

Rationale: An extra-large blood pressure cuff is appropriate for clients with larger arm circumferences, such as those who are obese, to ensure accurate readings. Using the thigh, lying down, or over-inflating the cuff does not address the need for proper cuff size.

Question 5 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?

A. Canned soup B. Fresh fruit C. Baked chicken D. Whole grain bread

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.

Cardiac Disorders NCLEX Questions | Nurselytic

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