NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client is three (3) hours post-myocardial infarction. Which data would warrant immediate intervention by the nurse?
Correct Answer: D
Rationale: Cool, clammy, diaphoretic skin (
D) indicates cardiogenic shock or sympathetic response, requiring immediate intervention. Pulses (
A), SpO2 (
B), and urine output (
C) are normal.
Question 2 of 5
The client has an implantable cardioverter defibrillator (ICD). Which discharge instructions should the nurse teach the client?
Correct Answer: C
Rationale: Carrying the cell phone on the opposite side (
C) minimizes electromagnetic interference with the ICD. Lifting limits (
A) are typically 10–15 lbs initially, driving (
B) is restricted temporarily, and microwaves (
D) are safe.
Question 3 of 5
The client with coronary artery disease is prescribed transdermal nitroglycerin, a coronary vasodilator. Which behavior indicates the client understands the discharge teaching concerning this medication?
Correct Answer: B
Rationale: Removing the old patch (
B) ensures proper dosing and prevents overdose. Sublingual (
A) is incorrect, hairy areas (
C) reduce adhesion, and patches are changed every 24 hours (
D).
Question 4 of 5
Which signs/symptoms should the nurse assess in any client who has a long-term valvular heart disease? Select all that apply.
Correct Answer: A,B,C
Rationale: Valvular disease causes fluid overload, leading to PND (
A), orthopnea (
B), and cough (
C). Pericardial rub (
D) and pulsus paradoxus (E) are specific to pericarditis/tamponade.
Question 5 of 5
The charge nurse is making assignments for clients on a cardiac unit. Which client should the charge nurse assign to a new graduate nurse?
Correct Answer: C
Rationale: A client scheduled for cardiac catheterization (
C) is stable, suitable for a new graduate. MI (
A), unstable angina (
B), and chest pain (
D) require experienced care.