NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is told in report the client has aortic stenosis. Which anatomical position should the nurse auscultate to assess the murmur?
Correct Answer: A
Rationale: Aortic stenosis murmur is best heard at the second intercostal space, right sternal notch (
A), where the aortic root is closest. Erb’s point (
B), left sternal notch (
C), and fourth space (
D) are for other murmurs.
Question 2 of 5
The charge nurse is making shift assignments. Which client would be most appropriate for the charge nurse to assign to a new graduate who just completed orientation to the medical floor?
Correct Answer: A
Rationale: Diagnostic testing for valvular disease (
A) is stable, suitable for a new graduate. Post-MI (
B), SVT (
C), and high INR (
D) require experienced care.
Question 3 of 5
The nurse is administering a calcium channel blocker to the client diagnosed with a myocardial infarction. Which assessment data would cause the nurse to question administering this medication?
Correct Answer: D
Rationale: Hypotension (BP 90/58,
D) contraindicates calcium channel blockers, which lower BP further. Pulse 64 (
A), elevated calcium (
B), and PVCs (
C) are not contraindications.
Question 4 of 5
Which nursing diagnosis would be priority for the client diagnosed with myocarditis?
Correct Answer: D
Rationale: Myocarditis impairs cardiac function, making activity intolerance (
D) the priority due to reduced cardiac output. Anxiety (
A), injury (
B), and increased output (
C) are less immediate or incorrect.
Question 5 of 5
The nurse is developing a discharge-teaching plan for the client diagnosed with congestive heart failure. Which interventions should be included in the plan? Select all that apply.
Correct Answer: A,B,C
Rationale: Weight gain monitoring (
A) detects fluid retention, pulse counting (
B) ensures digoxin safety, and removing salt (
C) reduces sodium intake. Dark urine (
D) is not specific, and furosemide at bedtime (E) causes nocturia, so morning dosing is preferred.