NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client with infective endocarditis is admitted to the medical department. Which health-care provider’s order should be implemented first?
Correct Answer: B
Rationale: Blood cultures (
B) are obtained first in endocarditis to identify the pathogen before antibiotics (
A) obscure results. Echocardiogram (
C) and bedrest (
D) follow.
Question 2 of 5
The nurse is assessing the client diagnosed with congestive heart failure. Which laboratory data would indicate that the client is in severe congestive heart failure?
Correct Answer: A
Rationale: Elevated BNP (
A) is specific to heart failure, reflecting ventricular stress. CK-MB (
B) indicates myocardial infarction, D-dimer (
C) suggests clotting, and V/Q scan (
D) is for pulmonary embolism.
Question 3 of 5
The client with infective endocarditis is admitted to the medical department. Which health-care provider’s order should be implemented first?
Correct Answer: B
Rationale: Blood cultures (
B) are obtained first in endocarditis to identify the pathogen before antibiotics (
A) obscure results. Echocardiogram (
C) and bedrest (
D) follow.
Question 4 of 5
The client has just returned from a cardiac catheterization. Which assessment data would warrant immediate intervention from the nurse?
Correct Answer: C
Rationale: Refusing to keep the leg straight (
C) risks bleeding from the femoral site, requiring immediate intervention. Normal BP/pulse (
A), intact dressing (
B), and no numbness (
D) are expected.
Question 5 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.