Pediatric Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

The nurse is assisting with a synchronized cardioversion on a client in atrial fibrillation. When the machine is activated, there is a pause. What action should the nurse take?

Correct Answer: A

Rationale: A pause in synchronized cardioversion is normal as the machine syncs with the QRS complex; wait for discharge (
A). 'All clear' (
B) is for defibrillation, checking client (
C) is premature, and increasing joules (
D) is incorrect.

Question 2 of 5

The intensive care department nurse is assessing the client who is 12 hours post-myocardial infarction. The nurse assesses an S3 heart sound. Which intervention should the nurse implement?

A. Notify the health-care provider immediately. B. Elevate the head of the client's bed. C. Document this as a normal and expected finding. D. Administer morphine intravenously.

Correct Answer: A

Rationale: An S3 heart sound post-MI (
A) indicates heart failure, requiring HCP notification. Elevating HOB (
B) is supportive, documenting as normal (
C) is incorrect, and morphine (
D) is for pain.

Question 3 of 5

The nurse is developing a nursing care plan for a client diagnosed with congestive heart failure. A nursing diagnosis of 'decreased cardiac output related to inability of the heart to pump effectively' is written. Which short-term goal would be best for the client?

A. The client will be able to ambulate in the hall by date of discharge. B. The client will have an audible S1 and S2 with no S3 heard by end of shift. C. The client will turn, cough, and deep breathe every two (2) hours. D. The client will have a SaO2 reading of 98% by day two (2) of care.

Correct Answer: B

Rationale: Absence of an S3 heart sound (
B) indicates improved cardiac function, directly addressing decreased cardiac output. Ambulation (
A) is long-term, turning/coughing (
C) is an intervention, and SaO2 of 98% (
D) is less specific to cardiac output.

Question 4 of 5

Which client would the nurse suspect of having a mitral valve prolapse?

A. A 60-year-old female with congestive heart failure. B. A 23-year-old male with Marfan's syndrome. C. An 80-year-old male with atrial fibrillation. D. A 33-year-old female with Down syndrome.

Correct Answer: B

Rationale: Mitral valve prolapse is common in Marfan’s syndrome (
B) due to connective tissue defects. CHF (
A), atrial fibrillation (
C), and Down syndrome (
D) are not strongly associated.

Question 5 of 5

Which meal would indicate the client understands the discharge teaching concerning the recommended diet for coronary artery disease?

A. Baked fish, steamed broccoli, and garden salad. B. Enchilada dinner with fried rice and refried beans. C. Tuna salad sandwich on white bread and whole milk. D. Fried chicken, mashed potatoes, and gravy.

Correct Answer: A

Rationale: Baked fish, steamed broccoli, and salad (
A) are low-fat and heart-healthy, aligning with CAD diet teaching. Enchiladas (
B), tuna with whole milk (
C), and fried chicken (
D) are high in fat/sodium.

Pediatric Cardiac Disorders NCLEX Questions | Nurselytic

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