NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is admitting a client diagnosed with coronary artery disease (CAD) and angina. Which concept is priority?
Correct Answer: D
Rationale: CAD and angina impair perfusion (
D), the priority concept, as ischemia causes symptoms. Sleep/rest (
A), comfort (
B), and oxygenation (
C) are secondary.
Question 2 of 5
The male client is diagnosed with coronary artery disease (CAD) and is prescribed sublingual nitroglycerin. Which statement indicates the client needs more teaching?
Correct Answer: B
Rationale: Burning under the tongue (
B) is not a reliable indicator of nitroglycerin effectiveness; potency is maintained in a dark bottle (A,
C). Persistent pain requires up to 3 doses, not immediate ER (
D).
Question 3 of 5
Which modification used by the nurse is most appropriate when taking the blood pressure of a client who weighs 250 pounds?
Correct Answer: D
Rationale: An extra-large blood pressure cuff is appropriate for clients with larger arm circumferences, such as those who are obese, to ensure accurate readings. Using the thigh, lying down, or over-inflating the cuff does not address the need for proper cuff size.
Question 4 of 5
What should be included in the teaching plan for an adult who has hypertension?
Correct Answer: C
Rationale: Reducing alcohol intake helps manage hypertension by lowering blood pressure. Calcium reduction, avoiding aerobic exercise, or limiting fluids are not standard recommendations.
Question 5 of 5
Which nursing action is most appropriate when applying a new transdermal patient?
Correct Answer: A
Rationale: Rotating the application site for a nitroglycerin patch prevents skin irritation and ensures consistent drug absorption.