NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
Which intervention should the nurse implement when defibrillating a client who is in ventricular fibrillation?
Correct Answer: D
Rationale: Shouting 'all clear' (
D) ensures safety before defibrillation. Energy levels (
A) are 200–360 joules, oxygen (
B) is removed to prevent fire, and petroleum jelly (
C) is not used.
Question 3 of 5
Which statement by the client diagnosed with coronary artery disease indicates that the client understands the discharge teaching concerning diet?
Correct Answer: B
Rationale: Baking or grilling meats (
B) reduces fat, aligning with a low-fat CAD diet. Six eggs (
A) are excessive, whole milk (
C) is high-fat, and avoiding pork (
D) is overly restrictive.
Question 4 of 5
The client with coronary artery disease asks the nurse, 'Why do I get chest pain?' Which statement would be the most appropriate response by the nurse?
Correct Answer: A
Rationale: Chest pain in CAD is due to decreased oxygen to the heart muscle (
A), a clear explanation. Ischemia/hypoxemia (
B) is technical, pumping (
C) relates to heart failure, and lungs (
D) are incorrect.
Question 5 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.