Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

The elderly client has coronary artery disease. Which question should the nurse ask the client during the client teaching?

Correct Answer: D

Rationale: Weight change (
D) may indicate fluid retention or malnutrition, relevant to CAD management. Bowel movements (
A), CXRs (
B), and sexual activity (
C) are less directly related.

Question 2 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?

A. Canned soup B. Fresh fruit C. Baked chicken D. Whole grain bread

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 3 of 5

Using the following cardiac structures, trace the normal stress in which blood circulates on the left side of the heart. Use all the options.

A. Aorta B. Left ventricle C. Pulmonary veins D. Left atrium E. Mitral valve (correct sequence: 3, 4, 5, 2, 1)

Correct Answer: D

Rationale: Blood flows: pulmonary veins â†’ left atrium â†’ mitral valve â†’ left ventricle â†’ aorta.

Question 4 of 5

The nurse is teaching an adult who has angina about taking nitroglycerin. The nurse tells him he will know the nitroglycerin is effective when:

A. he experiences tingling under the tongue. B. his pulse rate increases. C. his pain subsides. D. his activity tolerance increases.

Correct Answer: C

Rationale: The effectiveness of nitroglycerin is indicated by the relief of anginal pain. Tingling, increased pulse rate, or improved activity tolerance are not direct indicators of its effectiveness.

Question 5 of 5

The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client?

A. Apical pulse rate of 110 and 4+ pitting edema of feet. B. Thick white sputum and crackles that clear with cough. C. The client sleeping with no pillow and eupnea. D. Radial pulse rate of 90 and CRT less than three (3) seconds.

Correct Answer: A

Rationale: CHF exacerbation causes fluid overload, leading to tachycardia (apical pulse 110) and severe edema (4+ pitting,
A). Thick sputum/crackles (
B) suggest pneumonia, sleeping flat with eupnea (
C) is unlikely, and normal CRT (
D) doesn’t reflect CHF severity.

Cardiac Disorders NCLEX Questions | Nurselytic

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