NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for four clients on a telemetry unit. Which nursing task would be best for the nurse to delegate to the UAP?
Correct Answer: D
Rationale: Positioning for an x-ray (
D) is within the UAP’s scope and safe. Smoking (
A) is inappropriate, ICU transport (
B) requires nursing judgment, and discharge teaching (
C) is a nursing responsibility.
Question 2 of 5
The nurse is developing a discharge-teaching plan for the client diagnosed with congestive heart failure. Which interventions should be included in the plan? Select all that apply.
Correct Answer: A,B,C
Rationale: Weight gain monitoring (
A) detects fluid retention, pulse counting (
B) ensures digoxin safety, and removing salt (
C) reduces sodium intake. Dark urine (
D) is not specific, and furosemide at bedtime (E) causes nocturia, so morning dosing is preferred.
Question 3 of 5
The unlicensed assistive personnel (UAP) tells the primary nurse that the client diagnosed with coronary artery disease is having chest pain. Which action should the nurse take first?
Correct Answer: D
Rationale: Chest pain in CAD requires immediate nurse assessment (
D) to determine severity and cause. Vital signs (
A), telemetry (
B), and notifying HCP (
C) follow assessment.
Question 4 of 5
The nurse is discussing angina with a client who is diagnosed with coronary artery disease. Which action should the client take first when experiencing angina?
Correct Answer: B
Rationale: Stopping activity and resting (
B) reduces oxygen demand, the first step in angina. Nitroglycerin (
A) follows, documenting (
C) is later, and notifying HCP (
D) is for persistent pain.
Question 5 of 5
The client is admitted to the medical unit to rule out carditis. Which question should the nurse ask the client during the admission interview to support this diagnosis?
Correct Answer: B
Rationale: Rheumatic fever (
B) is a major cause of carditis, especially in children, making it the most relevant question. Sore throat (
A) is less specific, family history (
C) is rare, and OTC meds (
D) are unrelated.