NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client is in ventricular fibrillation. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Ventricular fibrillation requires CPR (
A), defibrillation (
C), crash cart (
D), and amiodarone (E). Adenosine (
B) is for SVT.
Question 2 of 5
The client is one (1) day postoperative coronary artery bypass surgery. The client complains of chest pain. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Chest pain post-CABG may indicate complications. Assessing the dressing and vital signs (
B) identifies bleeding or instability. Morphine (
A), repositioning (
C), and telemetry (
D) follow.
Question 3 of 5
The nurse identifies the concept of altered tissue perfusion related to a client admitted with atrial fibrillation. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,E,F
Rationale: Monitoring BP/apical rate (
A), anticoagulation status (E), and neurological status (F) address AF-related perfusion risks (clots, stroke). I/O (
B) is for fluid status, HOB elevation (
C) is for CHF, and Buerger Allen (
D) is for PAD.
Question 4 of 5
The nurse is administering morning medications. Which medication should be administered first?
Correct Answer: B
Rationale: Fasting glucose of 345 mg/dL (
B) requires immediate insulin to prevent complications, especially before eating. Digoxin (
A), furosemide (
C), and ARB (
D) are less urgent.
Question 5 of 5
The nurse is caring for a client who suddenly complains of crushing substernal chest pain while ambulating in the hall. Which nursing action should the nurse implement first?
Correct Answer: D
Rationale: Crushing chest pain suggests ischemia; sitting down (
D) reduces oxygen demand. Code Blue (
A), telemetry (
B), and pulse (
C) follow if pain persists.