NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse identifies the concept of tissue perfusion as a client problem. Which is an antecedent of tissue perfusion?
Correct Answer: A
Rationale: CAD (
A) directly impairs cardiac perfusion due to atherosclerosis, an antecedent to perfusion issues. DI (
B), COPD (
C), and fractures (
D) are less directly related.
Question 2 of 5
A client is being seen in the clinic to rule out (R/O) mitral valve stenosis. Which assessment data would be most significant?
Correct Answer: A
Rationale: Shortness of breath on exertion (
A) is a hallmark of mitral valve stenosis due to impaired left atrial emptying. JVD/edema (
B), postprandial pain (
C), and liver/abdominal edema (
D) suggest right-sided failure or other causes.
Question 3 of 5
Which prothrombin time value would be considered normal for a client who is receiving warfarin (Coumadin)?
Correct Answer: B
Rationale: For a client receiving warfarin, the prothrombin time should be 1.5 to 2 times the normal value (11 to 12.5 seconds). Twenty seconds falls within this therapeutic range. Twelve seconds is normal for someone not on warfarin. Sixty seconds is normal for a partial thromboplastin time (PTT) test, and 98 seconds would be therapeutic for heparin, not warfarin.
Question 4 of 5
Which nursing action would best reduce the client's energy, the client?
Correct Answer: B
Rationale: Staggering activities conserves energy, reducing cardiac workload in recovery.
Question 5 of 5
When providing dietary instructions for this client, which healthful alternative should the nurse recommend?
Correct Answer: C
Rationale: Cereal is a low-cholesterol, heart-healthy alternative to eggs, which are high in cholesterol. Wheat toast and margarine still contain some fats, and ham is high in sodium and fat.