Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

The nurse counts an adult's apical heart beat at 110 beats per minute. The nurse describes this as:

Correct Answer: C

Rationale: Tachycardia in an adult is defined as a heart rate above 100 beats per minute. Asystole is cardiac arrest with no heartbeat. Bigeminy refers to heartbeats occurring in pairs. Bradycardia is a heart rate of 60 beats or less per minute.

Question 2 of 5

The female client is diagnosed with rheumatic fever and prescribed penicillin, an antibiotic. Which statement indicates the client needs more teaching concerning the discharge teaching?

A. I must take all the prescribed antibiotics.' B. I may get a vaginal yeast infection with penicillin.' C. I will have no problems as long as I take my medication.' D. My throat culture was positive for a streptococcal infection.'

Correct Answer: C

Rationale: Assuming no problems with medication (
C) ignores potential complications like recurrence, indicating a need for teaching. Completing antibiotics (
A), yeast infection (
B), and strep culture (
D) are correct.

Question 3 of 5

Which assessment finding is the best indication that oxygen therapy is effective?

A. The client's face is flushed. B. Capillary refill is 6 seconds. C. The client states, 'I'm feeling better.' D. The apical pulse is less bounding.

Correct Answer: C

Rationale: The client's subjective improvement in symptoms indicates effective oxygen therapy.

Question 4 of 5

Which interventions should the nurse discuss with the client diagnosed with coronary artery disease? Select all that apply.

A. Instruct the client to stop smoking. B. Encourage the client to exercise three (3) days a week. C. Teach about coronary vasodilators. D. Prepare the client for a carotid endarterectomy. E. Eat foods high in monosaturated fats.

Correct Answer: A,B,C

Rationale: Stopping smoking (
A), exercising (
B), and vasodilators (
C) reduce CAD progression. Carotid endarterectomy (
D) is for stroke risk, and monounsaturated fats (E) are beneficial but not high amounts.

Question 5 of 5

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

A. Do you have a daily bowel movement?' B. Do you get yearly chest x-rays (CXRs)?' C. Are you sexually active?' D. Have you had any weight change?'

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.

Cardiac Disorders NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN