Pediatric Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

The nurse is caring for clients on a cardiac floor. Which client should the nurse assess first?

Correct Answer: C

Rationale: An S3 in mitral valve prolapse (
C) suggests heart failure, requiring immediate assessment. Unifocal PVCs (
A) are less urgent, ambulation (
B) is routine, and normal rhythm in pericarditis (
D) is stable.

Question 2 of 5

The nurse is caring for a client diagnosed with coronary artery disease (CAD). Which should the nurse teach the client prior to discharge?

A. Carry your nitroglycerin tablets in a brown bottle. B. Swallow a nitroglycerin tablet at the first sign of angina. C. If one nitroglycerin tablet does not work in 10 minutes, take another. D. Nitroglycerin tablets have a fruity odor if they are potent.

Correct Answer: A

Rationale: Nitroglycerin should be stored in a dark bottle (
A) to maintain potency. Swallowing (
B) is incorrect (sublingual), 10 minutes (
C) should be 5, and fruity odor (
D) is not a potency indicator.

Question 3 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 4 of 5

The client diagnosed with a myocardial infarction (MI) is being discharged. Which discharge instruction(s) should the nurse teach the client?

A. Call the health care provider (HCP) if any chest pain happens. B. Discuss when the client can resume sexual activity. C. Explain the pharmacology of nitroglycerin tablets. D. Encourage the client to sleep with the head of the bed elevated.

Correct Answer: A,B,C

Rationale: Instructing to call HCP for chest pain (
A), discussing sexual activity (
B), and explaining nitroglycerin (
C) ensure safety and recovery. HOB elevation (
D) is for CHF, not MI.

Question 5 of 5

The client has just had a pericardiocentesis. Which interventions should the nurse implement? Select all that apply.

A. Monitor vital signs every 15 minutes for the first hour. B. Assess the client's heart and lung sounds. C. Record the amount of fluid removed as output. D. Evaluate the client's cardiac rhythm. E. Keep the client in the supine position.

Correct Answer: A,B,C,D

Rationale: Post-pericardiocentesis, monitor vital signs (
A), heart/lung sounds (
B), fluid output (
C), and rhythm (
D) to detect complications. Supine position (E) is not required; semi-Fowler’s is preferred.

Pediatric Cardiac Disorders NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN