NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 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 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 nurse is assessing the client diagnosed with congestive heart failure. Which signs/symptoms would indicate that the medical treatment has been effective?
Correct Answer: C,D
Rationale: Effective CHF treatment reduces fluid overload, allowing ADLs without dyspnea (
C) and minimal JVD (
D). Increased edema (
A) indicates worsening, and pulse-taking (
B) is a skill, not a treatment outcome.
Question 4 of 5
The client comes to the emergency department saying, 'I am having a heart attack.' Which question is most pertinent when assessing the client?
Correct Answer: A
Rationale: Describing chest pain (
A) is most pertinent to differentiate cardiac from non-cardiac causes. Activity (
B), diet (
C), and positional pain (
D) are secondary.
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.