NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The health-care provider has ordered an angiotensin-converting enzyme (ACE) inhibitor for the client diagnosed with congestive heart failure. Which discharge instructions should the nurse include?
Correct Answer: B
Rationale: ACE inhibitors cause hypotension, so teaching prevention of orthostatic hypotension (
B) is critical. Cough suppressants (
A) are inappropriate for ACE inhibitor cough, bananas (
C) are unnecessary unless hypokalemia exists, and food (
D) is not required.
Question 2 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:
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 3 of 5
The nurse is preparing to administer a beta blocker to the client diagnosed with coronary artery disease. Which assessment data would cause the nurse to question administering the medication?
Correct Answer: B
Rationale: Beta blockers slow heart rate; a pulse of 56 (
B) may indicate bradycardia, warranting caution. BP 110/70 (
A), headache (
C), and normal potassium (
D) are not contraindications.
Question 4 of 5
When the nurse informs the client about the use of the PCA pump, which instruction is most important to include?
Correct Answer: B
Rationale: Only the client should press the PCA button to prevent overdose and ensure pain relief is patient-controlled.
Question 5 of 5
The nurse is transcribing the doctor’s orders for a client with congestive heart failure. The order reads 2.5 mg of Lanoxin daily. Which action should the nurse implement?
Correct Answer: A
Rationale: Lanoxin (digoxin) 2.5 mg (
A) exceeds the safe dose (0.125–0.25 mg daily), requiring HCP clarification. Pulse (
B), potassium (
C), and digoxin level (
D) are routine but secondary to dose error.