Questions 37

NCLEX-PN

NCLEX-PN Test Bank

Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions

Extract:


Question 1 of 5

The nurse is administering a calcium channel blocker to the client diagnosed with a myocardial infarction. Which assessment data would cause the nurse to question administering this medication?

Correct Answer: D

Rationale: Hypotension (BP 90/58,
D) contraindicates calcium channel blockers, which lower BP further. Pulse 64 (
A), elevated calcium (
B), and PVCs (
C) are not contraindications.

Question 2 of 5

The nurse is administering morning medications to clients on a telemetry unit. Which medication would the nurse question?

Correct Answer: C

Rationale: Enalapril (
C) is contraindicated with hypotension (BP 86/64), risking further BP drop. Furosemide with K+ 3.6 (
A), digoxin for AF (
B), and morphine for chest pain (
D) are appropriate.

Question 3 of 5

The nurse is told in report the client has aortic stenosis. Which anatomical position should the nurse auscultate to assess the murmur?

Correct Answer: A

Rationale: Aortic stenosis murmur is best heard at the second intercostal space, right sternal notch (
A), where the aortic root is closest. Erb’s point (
B), left sternal notch (
C), and fourth space (
D) are for other murmurs.

Question 4 of 5

The nurse is administering a calcium channel blocker to the client diagnosed with a myocardial infarction. Which assessment data would cause the nurse to question administering this medication?

Correct Answer: D

Rationale: Hypotension (BP 90/58,
D) contraindicates calcium channel blockers, which lower BP further. Pulse 64 (
A), elevated calcium (
B), and PVCs (
C) are not contraindications.

Question 5 of 5

Which client problem has priority for the client with a cardiac dysrhythmia?

Correct Answer: B

Rationale: Dysrhythmias primarily reduce cardiac output (
B), impacting perfusion, making it the priority. Comfort (
A), gas exchange (
C), and activity (
D) are secondary.

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