NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
The client who is one (1) day postoperative coronary artery bypass surgery is exhibiting sinus tachycardia. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Sinus tachycardia post-CABG is often due to pain (
D), which should be assessed first. Heart rate (
A), notifying (
B), and cardioversion (
C) follow if needed.
Question 3 of 5
The nurse is teaching a class on valve replacements. Which statement identifies a disadvantage of having a biological tissue valve replacement?
Correct Answer: D
Rationale: Biological valves (
D) have limited durability, often requiring replacement. Anticoagulation (
A) is for mechanical valves, infections (
B) are not easier, and thromboembolism (
C) is lower but not a disadvantage.
Question 4 of 5
The telemetry nurse notes a peaked T wave for the client diagnosed with congestive heart failure. Which laboratory data should the nurse assess?
Correct Answer: D
Rationale: Peaked T waves indicate hyperkalemia; assessing potassium (
D) is critical in CHF patients on diuretics. CK-MB (
A) and troponin (
B) are for MI, BNP (
C) for heart failure severity.
Question 5 of 5
Which data would cause the nurse to question administering digoxin to a client diagnosed with congestive heart failure?
Correct Answer: A
Rationale: Hypokalemia (K+ 3.2,
A) increases digoxin toxicity risk, warranting caution. Digoxin level 1.2 (
B) is therapeutic, pulse 64 (
C) is normal, and no yellow haze (
D) is expected.