NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client with coronary artery disease is prescribed a Holter monitor. Which intervention should the nurse implement?
Correct Answer: A
Rationale: A diary (
A) correlates symptoms with ECG changes on the Holter monitor. Removal (
B) is incorrect, medications (
C) continue, and decreasing activity (
D) is unnecessary.
Question 2 of 5
An adult who is receiving heparin asks the nurse why it cannot be given by mouth. The nurse responds that heparin is given parenterally because:
Correct Answer: AUG
Rationale: Heparin is a protein and is destroyed by gastric secretions, requiring parenteral administration (intravenously or subcutaneously). It does not irritate the gastric or intestinal lining, and while parenteral administration allows faster therapeutic levels, the primary reason is its destruction in the stomach.
Question 3 of 5
The best evidence that the client understands the nurse's instructions regarding dietary restrictions is if the client states to avoid which food?
Correct Answer: A
Rationale: Canned soup is high in sodium, which should be avoided in a low-sodium diet for hypertension management. The other options are generally low-sodium and suitable.
Question 4 of 5
If the client's pain is due to a myocardial infarction (MI), which prescribed medication would be most helpful?
Correct Answer: C
Rationale: Aspirin is critical in MI to inhibit platelet aggregation and prevent further thrombus formation.
Question 5 of 5
Which intervention should the nurse implement with the client diagnosed with dilated cardiomyopathy?
Correct Answer: B
Rationale: Dilated cardiomyopathy may require heart transplant (
B) as definitive treatment in severe cases. Supine position (
A) increases preload, CABG (
C) is for CAD, and calcium channel blockers (
D) are not first-line.