NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client is exhibiting ventricular tachycardia. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Ventricular tachycardia requires assessing pulse/BP (
C) to determine if it’s pulseless (defibrillation,
B) or stable (amiodarone,
A). CPR (
D) is for pulseless states.
Question 2 of 5
The client who is one (1) day postoperative coronary artery bypass surgery is exhibiting sinus tachycardia. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Sinus tachycardia post-CABG is often due to pain (
D), which should be assessed first. Heart rate (
A), notifying (
B), and cardioversion (
C) follow if needed.
Question 3 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 4 of 5
The client with pericarditis is prescribed a nonsteroidal anti-inflammatory drug (NSAID). Which teaching instruction should the nurse discuss with the client?
Correct Answer: C
Rationale: NSAIDs irritate the stomach; taking with food (
C) reduces GI upset. Tapering (
A) is for steroids, drowsiness (
B) is not typical, and waiting for severe pain (
D) delays relief.
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?
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.