NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
To assess the area where the permanent pacemaker battery, the nurse knows to examine which area of the skin?
Correct Answer: D
Rationale: Pacemaker generators are typically implanted below the right clavicle.
Question 2 of 5
The nurse is caring for a client who goes into ventricular tachycardia. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Ventricular tachycardia requires assessing for a pulse (
B) to determine if it’s pulseless (needing CPR,
C) or stable (medication). Calling a code (
A) or monitoring (
D) depends on pulse status.
Question 3 of 5
The nurse enters the room of the client diagnosed with congestive heart failure. The client is lying in bed gasping for breath, is cool and clammy, and has buccal cyanosis. Which intervention would the nurse implement first?
Correct Answer: D
Rationale: Gasping, clamminess, and cyanosis indicate acute pulmonary edema. Sitting upright (
D) improves breathing by reducing preload. Sponging (
A), pulse oximetry (
B), and vital signs (
C) are secondary to positioning.
Question 4 of 5
When the client returns to the room after the percutaneous transluminal coronary angioplasty (PTCA) procedure, which assessment finding should be reported immediately to the physician?
Correct Answer: D
Rationale: Chest pain post-PTCA may indicate re-occlusion or complications like stent thrombosis, requiring immediate reporting.
Question 5 of 5
Which action by a newly hired nursing assistant indicates that the nurse needs to provide more instruction to the nursing assistant on how to accurately assess the client's pulse rate?
Correct Answer: A
Rationale: Using the thumb to check the pulse can result in counting the assistant's own pulse, leading to inaccurate readings.