NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 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.
Question 2 of 5
The client is being evaluated for valvular heart disease. Which information would be most significant?
Correct Answer: D
Rationale: Rheumatic heart disease (
D) is a major cause of valvular disease, especially mitral/aortic. CAD (
A), family history (
B), and smoking (
C) are less directly causative.
Question 3 of 5
An adult client who has peripheral vascular disease of the lower extremities was observed smoking in the waiting area. What is the most appropriate response for the nurse to make regarding the client's smoking?
Correct Answer: B
Rationale: Smoking causes vasoconstriction, worsening blood flow in peripheral vascular disease, which directly impacts the condition. Other responses are less specific to the client’s diagnosis.
Question 4 of 5
When the client returns to the room after the percutaneous transluminal coronary angioplasty (PTCA) procedure, which assessment finding should be reported immediately to the physician?
Correct Answer: D
Rationale: Chest pain post-PTCA may indicate re-occlusion or complications like stent thrombosis, requiring immediate reporting.
Question 5 of 5
An older adult is scheduled for coronary arteriography during a cardiac catheterization. Which nursing intervention will be essential as she recovers from the diagnostic procedure on the hospital unit?
Correct Answer: D
Rationale: Assessing the arterial puncture site is essential to detect complications like bleeding or hematoma post-coronary arteriography.