Questions 37

NCLEX-PN

NCLEX-PN Test Bank

Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions

Extract:


Question 1 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 2 of 5

The client diagnosed with pericarditis is experiencing cardiac tamponade. Which collaborative intervention should the nurse anticipate for this client?

Correct Answer: A

Rationale: Cardiac tamponade requires pericardiocentesis (
A) to remove fluid. Enzymes (
B), ECG (
C), and heart/lung sounds (
D) are supportive but not primary.

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 client is scheduled for a right femoral cardiac catheterization. Which nursing intervention should the nurse implement after the procedure?

Correct Answer: B

Rationale: Post-catheterization, assessing neurovascular status (
B) ensures no bleeding or vascular complications. ROM (
A) is inappropriate, high Fowler’s (
C) is not required, and gag reflex (
D) is irrelevant.

Question 5 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.

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