Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

The client who is one (1) day postoperative coronary artery bypass surgery is exhibiting sinus tachycardia. Which intervention should the nurse implement?

Correct Answer: D

Rationale: Sinus tachycardia post-CABG is often due to pain (
D), which should be assessed first. Heart rate (
A), notifying (
B), and cardioversion (
C) follow if needed.

Question 2 of 5

The female client is diagnosed with rheumatic fever and prescribed penicillin, an antibiotic. Which statement indicates the client needs more teaching concerning the discharge teaching?

A. I must take all the prescribed antibiotics.' B. I may get a vaginal yeast infection with penicillin.' C. I will have no problems as long as I take my medication.' D. My throat culture was positive for a streptococcal infection.'

Correct Answer: C

Rationale: Assuming no problems with medication (
C) ignores potential complications like recurrence, indicating a need for teaching. Completing antibiotics (
A), yeast infection (
B), and strep culture (
D) are correct.

Question 3 of 5

When the nurse is about to administer digoxin to a client, the client says, 'I think I need to see the eye doctor. Things seem to look kind of green today.' The nurse takes his vital signs, which are blood pressure = 150/94, pulse = 60 bpm, and respirations = 28. What is the most appropriate initial action for the nurse to take?

A. Administer the medication and record the findings on his chart B. Withhold the digoxin and report to the charge nurse C. Request an appointment with the ophthalmologist D. Reassure the client that he is having a normal reaction to his medication

Correct Answer: B

Rationale: Visual disturbances, such as seeing a green or yellow halo, are signs of digoxin toxicity. The nurse should withhold the medication and report to the charge nurse for further evaluation.

Question 4 of 5

The nurse is teaching an adult who has angina about taking nitroglycerin. The nurse tells him he will know the nitroglycerin is effective when:

A. he experiences tingling under the tongue. B. his pulse rate increases. C. his pain subsides. D. his activity tolerance increases.

Correct Answer: C

Rationale: The effectiveness of nitroglycerin is indicated by the relief of anginal pain. Tingling, increased pulse rate, or improved activity tolerance are not direct indicators of its effectiveness.

Question 5 of 5

According to the nurse, when is the correct time to note the diastolic blood pressure reading?

A. When the loud knocking sounds become muffled B. When the last loud knocking sound is heard C. When the swishing sound is a second D. When the swishing sound becomes faint

Correct Answer: B

Rationale: The diastolic blood pressure is recorded at the point when the last loud knocking sound (Korotkoff phase V) is heard, indicating the pressure at which blood flow is fully restored.

Cardiac Disorders NCLEX Questions | Nurselytic

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NCLEX-PN

NCLEX-PN