NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client is in complete heart block. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Complete heart block may respond to atropine (
B) to increase heart rate acutely. Pacemaker (
A), ECG (
C), and HCP notification (
D) follow if atropine fails.
Question 2 of 5
The client's telemetry reading shows a P wave before each QRS complex and the rate is 78. Which action should the nurse implement?
Correct Answer: A
Rationale: P wave before QRS at rate 78 (
A) is normal sinus rhythm, requiring documentation. ECG (
B), digoxin (
C), and enzymes (
D) are unnecessary.
Question 3 of 5
Which intervention should the nurse implement when administering a loop diuretic to a client diagnosed with coronary artery disease?
Correct Answer: B
Rationale: Loop diuretics cause hypokalemia, which can precipitate dysrhythmias in CAD. Assessing potassium (
B) is critical. Pulse (
A), glucose (
C), and SpO2 (
D) are less directly related.
Question 4 of 5
The client who has had a myocardial infarction is admitted to the telemetry unit from intensive care. Which referral would be most appropriate for the client?
Correct Answer: C
Rationale: Cardiac rehabilitation (
C) promotes recovery through exercise and education post-MI. Social work (
A), physical therapy (
B), and occupational therapy (
D) are less specific.
Question 5 of 5
Which laboratory data confirm the diagnosis of congestive heart failure?
Correct Answer: D
Rationale: Elevated BNP (
D) is specific for CHF, reflecting ventricular stress. CXR (
A) shows fluid but is not diagnostic, liver tests (
B) and BUN (
C) are nonspecific.