NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
To provide adequate care for the client with worsening left-sided heart failure, the intensive care unit (ICU) nurse should be a full of the following on a daily basis?
Correct Answer: B,D
Rationale: Peripheral edema and weight are key indicators of fluid status in heart failure.
Question 2 of 5
The best evidence that the client is complying with the diet therapy is the report of using which type of fat for cooking?
Correct Answer: C
Rationale: Cooking spray is low in saturated fat and calories, aligning with a heart-healthy diet to control CAD progression.
Question 3 of 5
Which assessment finding is the best indication that oxygen therapy is effective?
Correct Answer: C
Rationale: The client's subjective improvement in symptoms indicates effective oxygen therapy.
Question 4 of 5
Which modification used by the nurse is most appropriate when taking the blood pressure of a client who weighs 250 pounds?
Correct Answer: D
Rationale: An extra-large blood pressure cuff is appropriate for clients with larger arm circumferences, such as those who are obese, to ensure accurate readings. Using the thigh, lying down, or over-inflating the cuff does not address the need for proper cuff size.
Question 5 of 5
The nurse counts an adult's apical heart beat at 110 beats per minute. The nurse describes this as:
Correct Answer: C
Rationale: Tachycardia in an adult is defined as a heart rate above 100 beats per minute. Asystole is cardiac arrest with no heartbeat. Bigeminy refers to heartbeats occurring in pairs. Bradycardia is a heart rate of 60 beats or less per minute.