Pediatric Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

The nurse is assessing the client diagnosed with congestive heart failure. Which signs/symptoms would indicate that the medical treatment has been effective?

Correct Answer: C,D

Rationale: Effective CHF treatment reduces fluid overload, allowing ADLs without dyspnea (
C) and minimal JVD (
D). Increased edema (
A) indicates worsening, and pulse-taking (
B) is a skill, not a treatment outcome.

Question 2 of 5

The nurse on the telemetry unit has just received the a.m. shift report. Which client should the nurse assess first?

A. The client diagnosed with myocardial infarction who has an audible S3 heart sound. B. The client diagnosed with congestive heart failure who has 4+ sacral pitting edema. C. The client diagnosed with pneumonia who has a pulse oximeter reading of 94%. D. The client with chronic renal failure who has an elevated creatinine level.

Correct Answer: A

Rationale: An S3 heart sound post-MI (
A) indicates heart failure or fluid overload, requiring immediate assessment. Edema (
B) is chronic, 94% SpO2 (
C) is stable, and elevated creatinine (
D) is expected in CRF.

Question 3 of 5

According to the 2010 American Heart Association Guidelines, which steps of cardiopulmonary resuscitation for an adult suffering from a cardiac arrest should the nurse teach individuals in the community? Rank in order of performance.

Order the Items

Source Container

Place the hands over the lower half of the sternum.

Look for obvious signs of breathing.

Begin compressions at a ratio of 30:2.

Call for an AED immediately.

Position the victim on the back.

Correct Answer: E,B,D,A,C

Rationale: 1. Position on back (E): Ensures a firm surface. 2. Look for breathing (
B): Confirms arrest. 3. Call for AED (
D): Activates help. 4. Place hands on sternum (
A): Prepares for compressions. 5. Begin compressions 30:2 (
C): Starts CPR.

Question 4 of 5

Which statement by the client diagnosed with coronary artery disease indicates that the client understands the discharge teaching concerning diet?

A. I will not eat more than six (6) eggs a week.' B. I should bake or grill any meats I eat.' C. I will drink eight (8) ounces of whole milk a day.' D. I should not eat any type of pork products.'

Correct Answer: B

Rationale: Baking or grilling meats (
B) reduces fat, aligning with a low-fat CAD diet. Six eggs (
A) are excessive, whole milk (
C) is high-fat, and avoiding pork (
D) is overly restrictive.

Question 5 of 5

The nurse is preparing to administer warfarin (Coumadin), an oral anticoagulant, to a client with a mechanical valve replacement. The client's INR is 2.7. Which action should the nurse implement?

A. Administer the medication as ordered. B. Prepare to administer vitamin K (AquaMephyton). C. Hold the medication and notify the HCP. D. Assess the client for abnormal bleeding.

Correct Answer: A

Rationale: INR 2.7 (
A) is within the therapeutic range (2–3) for mechanical valves, so administer warfarin. Vitamin K (
B) reverses anticoagulation, holding (
C) is unnecessary, and bleeding (
D) is routine but not primary.

Pediatric Cardiac Disorders NCLEX Questions | Nurselytic

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