NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse enters the client's room and notes an unconscious client with an absence of respirations and no pulse or blood pressure. The concept of perfusion is identified by the nurse. Which should the nurse implement first?
Correct Answer: D
Rationale: No pulse/respirations indicate cardiac arrest; pushing the Code Blue button (
D) initiates the code team. Notifying HCP (
A), RRT (
B), or checking telemetry (
C) delay resuscitation.
Question 2 of 5
The nurse identifies the concept of perfusion for a client diagnosed with congestive heart failure. Which assessment data support this concept?
Correct Answer: B
Rationale: PND (
B) indicates fluid overload in CHF, supporting impaired perfusion. Large abdomen (
A) suggests ascites, glucosuria (
C) is diabetes-related, and MI (
D) is a cause, not a symptom.
Question 3 of 5
The nurse is functioning in the role of medication nurse during a code. Which should the nurse implement when administering amiodarone for ventricular tachycardia?
Correct Answer: D
Rationale: Amiodarone for VT is administered via IV pump (
D) per ACLS (e.g., 150 mg over 10 min). Rapid infusion (
A) risks hypotension, direct push (
B) is incorrect, and questioning (
C) is unnecessary.
Question 4 of 5
The nurse is admitting a client diagnosed with coronary artery disease (CAD) and angina. Which concept is priority?
Correct Answer: D
Rationale: CAD and angina impair perfusion (
D), the priority concept, as ischemia causes symptoms. Sleep/rest (
A), comfort (
B), and oxygenation (
C) are secondary.
Question 5 of 5
The nurse has received shift report. Which client should the nurse assess first?
Correct Answer: A
Rationale: Severe indigestion in CAD (
A) may indicate angina or MI, requiring immediate assessment. Edema (
B), tachycardia (
C), and constipation (
D) are less urgent.