NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client with a mechanical valve replacement asks the nurse, 'Why do I have to take antibiotics before getting my teeth cleaned?' Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Mechanical valves increase endocarditis risk; antibiotics (
A) prevent heart infection during dental procedures. Bleeding (
B), valve malfunction (
C), and vegetative growth (
D) are inaccurate.
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 is experiencing multifocal premature ventricular contractions. Which antidysrhythmic medication would the nurse expect the healthcare provider to order for this client?
Correct Answer: A
Rationale: Amiodarone (
A) treats ventricular dysrhythmias like PVCs. Atropine (
B) is for bradycardia, digoxin (
C) for heart failure/AF, and adenosine (
D) for SVT.
Question 4 of 5
The nurse is told in report the client has aortic stenosis. Which anatomical position should the nurse auscultate to assess the murmur?
Correct Answer: A
Rationale: Aortic stenosis murmur is best heard at the second intercostal space, right sternal notch (
A), where the aortic root is closest. Erb’s point (
B), left sternal notch (
C), and fourth space (
D) are for other murmurs.
Question 5 of 5
What is the priority problem in the client diagnosed with congestive heart failure?
Correct Answer: B
Rationale: Decreased cardiac output (
B) is the primary problem in CHF, causing symptoms like fluid overload (
A). Activity intolerance (
C) and knowledge deficit (
D) are secondary.