NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client who suddenly complains of crushing substernal chest pain while ambulating in the hall. Which nursing action should the nurse implement first?
Correct Answer: D
Rationale: Crushing chest pain suggests ischemia; sitting down (
D) reduces oxygen demand. Code Blue (
A), telemetry (
B), and pulse (
C) follow if pain persists.
Question 2 of 5
The client with a mechanical valve replacement asks the nurse, 'Why do I have to take antibiotics before getting my teeth cleaned?' Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Mechanical valves increase endocarditis risk; antibiotics (
A) prevent heart infection during dental procedures. Bleeding (
B), valve malfunction (
C), and vegetative growth (
D) are inaccurate.
Question 3 of 5
The client has just received a mechanical valve replacement. Which behavior by the client indicates the client needs more teaching?
Correct Answer: C
Rationale: Aspirin (
C) is not routinely required post-mechanical valve; warfarin is standard. Antibiotics (
A), soft toothbrush (
B), and rest/activity (
D) are appropriate.
Question 4 of 5
The client has just returned from a cardiac catheterization. Which assessment data would warrant immediate intervention from the nurse?
Correct Answer: C
Rationale: Refusing to keep the leg straight (
C) risks bleeding from the femoral site, requiring immediate intervention. Normal BP/pulse (
A), intact dressing (
B), and no numbness (
D) are expected.
Question 5 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.