NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is assessing the client diagnosed with congestive heart failure. Which laboratory data would indicate that the client is in severe congestive heart failure?
Correct Answer: A
Rationale: Elevated BNP (
A) is specific to heart failure, reflecting ventricular stress. CK-MB (
B) indicates myocardial infarction, D-dimer (
C) suggests clotting, and V/Q scan (
D) is for pulmonary embolism.
Question 2 of 5
The charge nurse is making shift assignments. Which client would be most appropriate for the charge nurse to assign to a new graduate who just completed orientation to the medical floor?
Correct Answer: A
Rationale: Diagnostic testing for valvular disease (
A) is stable, suitable for a new graduate. Post-MI (
B), SVT (
C), and high INR (
D) require experienced care.
Question 3 of 5
What is the priority problem in the client diagnosed with congestive heart failure?
Correct Answer: B
Rationale: Decreased cardiac output (
B) is the primary problem in CHF, causing symptoms like fluid overload (
A). Activity intolerance (
C) and knowledge deficit (
D) are secondary.
Question 4 of 5
The nurse is working with a group of new graduates on a medical-surgical unit. Which should the nurse explain about completing first morning rounds on clients?
Correct Answer: A
Rationale: A quick 'down and dirty' assessment (
A) prioritizes client stability post-report. Bathing (
B), hygiene (
C), and room prep (
D) are secondary to safety.
Question 5 of 5
The nurse has written an outcome goal 'demonstrates tolerance for increased activity' for a client diagnosed with congestive heart failure. Which intervention should the nurse implement to assist the client to achieve this outcome?
Correct Answer: D
Rationale: Frequent rest periods (
D) prevent overexertion, supporting activity tolerance in CHF. Intake/output (
A), sodium diet (
B), and daily weights (
C) are important but less directly related to activity.