NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
After the coronary artery bypass graft (CABG) surgery, which assessment finding provides the best evidence that collateral circulation at the donor graft site is adequate?
Correct Answer: C
Rationale: Easy movement of the operative leg indicates adequate blood flow to the donor site, suggesting good collateral circulation.
Question 3 of 5
Which statement by the nurse is the best explanation for why the client needs to take the prescribed medication?
Correct Answer: D
Rationale: Nafcillin is an antibiotic used to prevent bacterial endocarditis in valvular disease.
Question 4 of 5
When the nurse is about to administer digoxin to a client, the client says, 'I think I need to see the eye doctor. Things seem to look kind of green today.' The nurse takes his vital signs, which are blood pressure = 150/94, pulse = 60 bpm, and respirations = 28. What is the most appropriate initial action for the nurse to take?
Correct Answer: B
Rationale: Visual disturbances, such as seeing a green or yellow halo, are signs of digoxin toxicity. The nurse should withhold the medication and report to the charge nurse for further evaluation.
Question 5 of 5
Which nursing action can best help reduce the client's anxiety in this situation?
Correct Answer: B
Rationale: Listening to the client's feelings validates their emotions and reduces anxiety by fostering trust and open communication.