NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is teaching a class on valve replacements. Which statement identifies a disadvantage of having a biological tissue valve replacement?
Correct Answer: D
Rationale: Biological valves (
D) have limited durability, often requiring replacement. Anticoagulation (
A) is for mechanical valves, infections (
B) are not easier, and thromboembolism (
C) is lower but not a disadvantage.
Question 2 of 5
The client is being evaluated for valvular heart disease. Which information would be most significant?
Correct Answer: D
Rationale: Rheumatic heart disease (
D) is a major cause of valvular disease, especially mitral/aortic. CAD (
A), family history (
B), and smoking (
C) are less directly causative.
Question 3 of 5
The client had open-heart surgery to replace the mitral valve. Which intervention should the intensive care unit nurse implement?
Correct Answer: A
Rationale: Fluid restriction (
A) prevents overload post-mitral valve surgery. Supine position (
B) increases preload, SpO2 90% (
C) is too low, and TPN (
D) is not routine.
Question 4 of 5
The telemetry nurse is unable to read the telemetry monitor at the nurse’s station. Which intervention should the telemetry nurse implement first?
Correct Answer: A
Rationale: An unreadable monitor (
A) requires direct client assessment to ensure safety. Instructing another nurse (
B), calling (
C), or crash cart (
D) are premature without assessment.
Question 5 of 5
The client is exhibiting sinus bradycardia, is complaining of syncope and weakness, and has a BP of 98/60. Which collaborative treatment should the nurse anticipate being implemented?
Correct Answer: C
Rationale: Symptomatic bradycardia (syncope, hypotension) often requires a pacemaker (
C). Thrombolytics (
A) are for MI, assessment (
B) is ongoing, and cardioversion (
D) is for tachydysrhythmias.