NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who goes into ventricular tachycardia. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Ventricular tachycardia requires assessing for a pulse (
B) to determine if it’s pulseless (needing CPR,
C) or stable (medication). Calling a code (
A) or monitoring (
D) depends on pulse status.
Question 2 of 5
The nurse informs the client that the correct way to administer nitroglycerin is to place one tablet where?
Correct Answer: C
Rationale: Sublingual nitroglycerin is placed under the tongue for rapid absorption into the bloodstream to relieve angina.
Question 3 of 5
The nurse enters the room of the client diagnosed with congestive heart failure. The client is lying in bed gasping for breath, is cool and clammy, and has buccal cyanosis. Which intervention would the nurse implement first?
Correct Answer: D
Rationale: Gasping, clamminess, and cyanosis indicate acute pulmonary edema. Sitting upright (
D) improves breathing by reducing preload. Sponging (
A), pulse oximetry (
B), and vital signs (
C) are secondary to positioning.
Question 4 of 5
Which nursing action can best help reduce the client's anxiety in this situation?
Correct Answer: B
Rationale: Listening to the client's feelings validates their emotions and reduces anxiety by fostering trust and open communication.
Question 5 of 5
An adult client is admitted with a diagnosis of left-sided congestive heart failure. Which assessment finding would most likely be present?
Correct Answer: B
Rationale: Dyspnea is a hallmark symptom of left-sided congestive heart failure due to pulmonary congestion. Distended neck veins, hepatomegaly, and pitting edema are more associated with right-sided heart failure.