NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client shows ventricular fibrillation on the telemetry at the nurse’s station. Which action should the telemetry nurse implement first?
Correct Answer: C
Rationale: Ventricular fibrillation is a code situation. Calling a STAT code (
C) initiates the response team. Epinephrine (
A), defibrillation (
B), and CPR (
D) follow code activation.
Question 2 of 5
The nurse is discussing the importance of exercise with the client diagnosed with coronary artery disease. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Walking 15 minutes 3 times a week (
B) is a safe, aerobic exercise for CAD. Isometric exercises (
A) increase BP, cold weather (
C) is a precaution, and open-toed shoes (
D) are irrelevant.
Question 3 of 5
The client diagnosed with an ST elevation myocardial infarction (STEMI) has developed 2+ edema bilaterally of the lower extremities and has crackles in all lung fields. Which should the nurse implement first?
Correct Answer: A
Rationale: Edema and crackles post-STEMI suggest heart failure; notifying the HCP (
A) ensures timely intervention. Diet (
B), ECG (
C), and furosemide (
D) follow HCP orders.
Question 4 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 5 of 5
Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that the client is experiencing a myocardial infarction?
Correct Answer: B
Rationale: MI causes diaphoresis and cool, clammy skin (
B) due to sympathetic activation. Epigastric pain/pyrosis (
A) suggest GI issues, claudication/pallor (
C) indicate PAD, and JVD/edema (
D) suggest heart failure.