NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is discussing angina with a client who is diagnosed with coronary artery disease. Which action should the client take first when experiencing angina?
Correct Answer: B
Rationale: Stopping activity and resting (
B) reduces oxygen demand, the first step in angina. Nitroglycerin (
A) follows, documenting (
C) is later, and notifying HCP (
D) is for persistent pain.
Question 2 of 5
The nurse is assessing the client diagnosed with congestive heart failure. Which laboratory data would indicate that the client is in severe congestive heart failure?
Correct Answer: A
Rationale: Elevated BNP (
A) is specific to heart failure, reflecting ventricular stress. CK-MB (
B) indicates myocardial infarction, D-dimer (
C) suggests clotting, and V/Q scan (
D) is for pulmonary embolism.
Question 3 of 5
The nurse is administering morning medications to clients on a telemetry unit. Which medication would the nurse question?
Correct Answer: C
Rationale: Enalapril (
C) is contraindicated with hypotension (BP 86/64), risking further BP drop. Furosemide with K+ 3.6 (
A), digoxin for AF (
B), and morphine for chest pain (
D) are appropriate.
Question 4 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 5 of 5
The client is in ventricular fibrillation. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Ventricular fibrillation requires CPR (
A), defibrillation (
C), crash cart (
D), and amiodarone (E). Adenosine (
B) is for SVT.