NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is functioning in the role of medication nurse during a code. Which should the nurse implement when administering amiodarone for ventricular tachycardia?
Correct Answer: D
Rationale: Amiodarone for VT is administered via IV pump (
D) per ACLS (e.g., 150 mg over 10 min). Rapid infusion (
A) risks hypotension, direct push (
B) is incorrect, and questioning (
C) is unnecessary.
Question 2 of 5
A male client with angina pectoris has been having an increased number of episodes of pain recently. He is admitted for observation. During the admission interview, he tells the nurse that he has been having chest pain during the last week. Which statement by the client would be of greatest concern to the nurse?
Correct Answer: C
Rationale: Chest pain at rest, such as while watching television, is concerning as it may indicate unstable angina or impending myocardial infarction, requiring urgent evaluation. Pain with activity, eating, or radiating to the arm is typical of angina but less immediately alarming.
Question 3 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 4 of 5
The telemetry nurse notes a peaked T wave for the client diagnosed with congestive heart failure. Which laboratory data should the nurse assess?
Correct Answer: D
Rationale: Peaked T waves indicate hyperkalemia; assessing potassium (
D) is critical in CHF patients on diuretics. CK-MB (
A) and troponin (
B) are for MI, BNP (
C) for heart failure severity.
Question 5 of 5
The nurse is preparing to administer a beta blocker to the client diagnosed with coronary artery disease. Which assessment data would cause the nurse to question administering the medication?
Correct Answer: B
Rationale: Beta blockers slow heart rate; a pulse of 56 (
B) may indicate bradycardia, warranting caution. BP 110/70 (
A), headache (
C), and normal potassium (
D) are not contraindications.