NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with a myocardial infarction who is experiencing chest pain. Which interventions should the nurse implement? Select all that apply.
Correct Answer: B,C
Rationale: Aspirin (
B) reduces clot formation, and oxygen (
C) improves myocardial oxygenation. Morphine IM (
A) delays absorption, supine position (
D) increases preload, and nitroglycerin SC (E) is incorrect; SL is used.
Question 2 of 5
Which nursing response is most appropriate at this time?
Correct Answer: C
Rationale: Allowing the client to vent feelings addresses emotional distress and supports coping.
Question 3 of 5
The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client?
Correct Answer: A
Rationale: CHF exacerbation causes fluid overload, leading to tachycardia (apical pulse 110) and severe edema (4+ pitting,
A). Thick sputum/crackles (
B) suggest pneumonia, sleeping flat with eupnea (
C) is unlikely, and normal CRT (
D) doesn’t reflect CHF severity.
Question 4 of 5
A young adult with a history of rheumatic fever as a child is to have a cardiac catheterization. She asks the nurse why she must have a cardiac catheterization. The nurse's response is based on the understanding that cardiac catheterization can accomplish all of the following EXCEPT:
Correct Answer: D
Rationale: Cardiac catheterization can assess heart structures, measure oxygen levels, and evaluate cardiac output, but obtaining a biopsy specimen is not a standard purpose of this procedure. Biopsies are typically performed via other methods, such as endomyocardial biopsy in specific cases.
Question 5 of 5
When two rescuers perform CPR on an adult, what is the ratio of compressions to ventilations?
Correct Answer: A
Rationale: Two-rescuer adult CPR uses a 30:2 ratio to balance circulation and oxygenation.