Pediatric Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

The client who has just had a percutaneous balloon valvuloplasty is in the recovery room. Which intervention should the Post Anesthesia Care Unit nurse implement?

Correct Answer: D

Rationale: Valvuloplasty is performed via femoral access, so keeping the leg straight (
D) prevents bleeding. Chest tubes (
A), dressings (
B), and ET tubes (
C) are not involved.

Question 2 of 5

The client diagnosed with a myocardial infarction asks the nurse, 'Why do I have to rest and take it easy? My chest doesn’t hurt anymore.' Which statement would be the nurse’s best response?

A. Your heart is damaged and needs about four (4) to six (6) weeks to heal.' B. There is necrotic myocardial tissue that puts you at risk for dysrhythmias.' C. Your doctor has ordered bedrest. Therefore, you must stay in the bed.' D. Just because your chest doesn’t hurt anymore doesn’t mean you are out of danger.'

Correct Answer: A

Rationale: Explaining that the heart needs 4–6 weeks to heal (
A) is accurate and understandable. Necrosis/dysrhythmias (
B) is technical, doctor’s orders (
C) dismiss patient autonomy, and danger (
D) is vague.

Question 3 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?

A. Chest pain is caused by decreased oxygen to the heart muscle.' B. There is ischemia to the myocardium as a result of hypoxemia.' C. The heart muscle is unable to pump effectively to perfuse the body.' D. Chest pain occurs when the lungs cannot adequately oxygenate the blood.'

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 4 of 5

The client diagnosed with a myocardial infarction (MI) is being discharged. Which discharge instruction(s) should the nurse teach the client?

A. Call the health care provider (HCP) if any chest pain happens. B. Discuss when the client can resume sexual activity. C. Explain the pharmacology of nitroglycerin tablets. D. Encourage the client to sleep with the head of the bed elevated.

Correct Answer: A,B,C

Rationale: Instructing to call HCP for chest pain (
A), discussing sexual activity (
B), and explaining nitroglycerin (
C) ensure safety and recovery. HOB elevation (
D) is for CHF, not MI.

Question 5 of 5

Which intervention should the nurse implement when defibrillating a client who is in ventricular fibrillation?

A. Defibrillate the client at 50, 100, and 200 joules. B. Do not remove the oxygen source during defibrillation. C. Place petroleum jelly on the defibrillator pads. D. Shout 'all clear' prior to defibrillating the client.

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.

Pediatric Cardiac Disorders NCLEX Questions | Nurselytic

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