NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The telemetry nurse notes a peaked T wave for the client diagnosed with congestive heart failure. Which laboratory data should the nurse assess?
Correct Answer: D
Rationale: Peaked T waves indicate hyperkalemia; assessing potassium (
D) is critical in CHF patients on diuretics. CK-MB (
A) and troponin (
B) are for MI, BNP (
C) for heart failure severity.
Question 2 of 5
Which symptom would the nurse expect to observe if the client is having an allergic reaction to streptokinase (Streptase)?
Correct Answer: A
Rationale: Urticaria (hives) is a common sign of an allergic reaction to streptokinase, a thrombolytic agent.
Question 3 of 5
An adult client is admitted with a diagnosis of left-sided congestive heart failure. Which assessment finding would most likely be present?
Correct Answer: B
Rationale: Dyspnea is a hallmark symptom of left-sided congestive heart failure due to pulmonary congestion. Distended neck veins, hepatomegaly, and pitting edema are more associated with right-sided heart failure.
Question 4 of 5
Because the client is exhibiting signs and symptoms of congestive heart failure (CHF), which position suggested by the nurse is most beneficial for the client at this time?
Correct Answer: D
Rationale: Semi-Fowler's position (30-45 degrees) reduces preload and eases breathing in CHF.
Question 5 of 5
The nurse is caring for a client diagnosed with a myocardial infarction who is experiencing chest pain. Which interventions should the nurse implement? Select all that apply.
Correct Answer: B,C
Rationale: Aspirin (
B) reduces clot formation, and oxygen (
C) improves myocardial oxygenation. Morphine IM (
A) delays absorption, supine position (
D) increases preload, and nitroglycerin SC (E) is incorrect; SL is used.