NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client with pericarditis is prescribed a nonsteroidal anti-inflammatory drug (NSAID). Which teaching instruction should the nurse discuss with the client?
Correct Answer: C
Rationale: NSAIDs irritate the stomach; taking with food (
C) reduces GI upset. Tapering (
A) is for steroids, drowsiness (
B) is not typical, and waiting for severe pain (
D) delays relief.
Question 2 of 5
A client is being seen in the clinic to rule out (R/O) mitral valve stenosis. Which assessment data would be most significant?
Correct Answer: A
Rationale: Shortness of breath on exertion (
A) is a hallmark of mitral valve stenosis due to impaired left atrial emptying. JVD/edema (
B), postprandial pain (
C), and liver/abdominal edema (
D) suggest right-sided failure or other causes.
Question 3 of 5
The best evidence that the client is complying with the diet therapy is the report of using which type of fat for cooking?
Correct Answer: C
Rationale: Cooking spray is low in saturated fat and calories, aligning with a heart-healthy diet to control CAD progression.
Question 4 of 5
According to the nurse, when is the correct time to note the diastolic blood pressure reading?
Correct Answer: B
Rationale: The diastolic blood pressure is recorded at the point when the last loud knocking sound (Korotkoff phase V) is heard, indicating the pressure at which blood flow is fully restored.
Question 5 of 5
Which prothrombin time value would be considered normal for a client who is receiving warfarin (Coumadin)?
Correct Answer: B
Rationale: For a client receiving warfarin, the prothrombin time should be 1.5 to 2 times the normal value (11 to 12.5 seconds). Twenty seconds falls within this therapeutic range. Twelve seconds is normal for someone not on warfarin. Sixty seconds is normal for a partial thromboplastin time (PTT) test, and 98 seconds would be therapeutic for heparin, not warfarin.