NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse provides discharge instructions for a client who has recovered after a cardiac catheterization. Which instructions should be included? Select all that apply.
Correct Answer: A,C,D
Rationale: Showering prevents infection, generous fluids help flush contrast dye, and reporting worsening pain detects complications. Leg exercises, double flushing, and daily dressing changes are not standard.
Question 2 of 5
The nurse responds to the call light of a client who has a history of angina pectoris. He tells the nurse that he has just taken a nitroglycerin tablet sublingually for anginal pain. What action should the nurse take next?
Correct Answer: A
Rationale: If anginal pain persists five minutes after the first nitroglycerin tablet, a second tablet should be administered, with up to three doses at five-minute intervals. Positioning with head lower than feet, narcotics, or calling the physician are not the immediate next steps.
Question 3 of 5
If the chest pain is not relieved after taking one nitroglycerin tablet, the nurse should teach the client to take what action?
Correct Answer: A
Rationale: If angina persists after one nitroglycerin tablet, another can be taken every 5 minutes up to three doses, then seek medical help if unrelieved.
Question 4 of 5
The nurse is caring for a client who is receiving heparin. What drug should be readily available?
Correct Answer: D
Rationale: The antidote for heparin is protamine sulfate. Vitamin K is the antidote for warfarin. Calcium gluconate is used for magnesium sulfate overdose. Caffeine is a stimulant and not an antidote.
Question 5 of 5
If the client develops digoxin toxicity, what would the nurse expect the client to exhibit?
Correct Answer: A
Rationale: Digoxin toxicity commonly causes anorexia, nausea, and vomiting due to gastrointestinal effects.