NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client with coronary artery disease is prescribed transdermal nitroglycerin, a coronary vasodilator. Which behavior indicates the client understands the discharge teaching concerning this medication?
Correct Answer: B
Rationale: Removing the old patch (
B) ensures proper dosing and prevents overdose. Sublingual (
A) is incorrect, hairy areas (
C) reduce adhesion, and patches are changed every 24 hours (
D).
Question 2 of 5
Which signs/symptoms should the nurse assess in any client who has a long-term valvular heart disease? Select all that apply.
Correct Answer: A,B,C
Rationale: Valvular disease causes fluid overload, leading to PND (
A), orthopnea (
B), and cough (
C). Pericardial rub (
D) and pulsus paradoxus (E) are specific to pericarditis/tamponade.
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 client diagnosed with pericarditis is experiencing cardiac tamponade. Which collaborative intervention should the nurse anticipate for this client?
Correct Answer: A
Rationale: Cardiac tamponade requires pericardiocentesis (
A) to remove fluid. Enzymes (
B), ECG (
C), and heart/lung sounds (
D) are supportive but not primary.
Question 5 of 5
The nurse is working with a group of new graduates on a medical-surgical unit. Which should the nurse explain about completing first morning rounds on clients?
Correct Answer: A
Rationale: A quick 'down and dirty' assessment (
A) prioritizes client stability post-report. Bathing (
B), hygiene (
C), and room prep (
D) are secondary to safety.