NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to administer warfarin (Coumadin), an oral anticoagulant, to a client with a mechanical valve replacement. The client's INR is 2.7. Which action should the nurse implement?
Correct Answer: A
Rationale: INR 2.7 (
A) is within the therapeutic range (2–3) for mechanical valves, so administer warfarin. Vitamin K (
B) reverses anticoagulation, holding (
C) is unnecessary, and bleeding (
D) is routine but not primary.
Question 2 of 5
The home health nurse is assigned a client diagnosed with heart failure. Which should the nurse implement? Select all that apply.
Correct Answer: A,B,C,D,F
Rationale: Sodium restriction (
A), elevating feet (
B), daily weights (
C), edema assessment (
D), and teach-back (F) manage CHF. 3,000 mL fluid (E) risks overload.
Question 3 of 5
The client diagnosed with a myocardial infarction asks the nurse, 'Why do I have to rest and take it easy? My chest doesn’t hurt anymore.' Which statement would be the nurse’s best response?
Correct Answer: A
Rationale: Explaining that the heart needs 4–6 weeks to heal (
A) is accurate and understandable. Necrosis/dysrhythmias (
B) is technical, doctor’s orders (
C) dismiss patient autonomy, and danger (
D) is vague.
Question 4 of 5
The client is admitted to the emergency department, and the nurse suspects a cardiac problem. Which assessment interventions should the nurse implement? Select all that apply.
Correct Answer: B,C,E
Rationale: Telemetry (
B), saline lock (
C), and STAT ECG (E) assess cardiac status. Urine specimen (
A) and BMP (
D) are not priority for suspected cardiac issues.
Question 5 of 5
The nurse is preparing to administer warfarin (Coumadin), an oral anticoagulant, to a client with a mechanical valve replacement. The client's INR is 2.7. Which action should the nurse implement?
Correct Answer: A
Rationale: INR 2.7 (
A) is within the therapeutic range (2–3) for mechanical valves, so administer warfarin. Vitamin K (
B) reverses anticoagulation, holding (
C) is unnecessary, and bleeding (
D) is routine but not primary.