NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Using the following cardiac structures, trace the normal stress in which blood circulates on the left side of the heart. Use all the options.
Correct Answer: D
Rationale: Blood flows: pulmonary veins → left atrium → mitral valve → left ventricle → aorta.
Question 2 of 5
The nurse knows that the client understands the physician's explanation of the PTCA procedure when the client makes which statement?
Correct Answer: A
Rationale: PTCA involves inflating a balloon-tipped catheter to open a narrowed coronary artery, improving blood flow.
Question 3 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 4 of 5
After the femoral artery has been cannulated and the client is returned to the room, what should the nurse plan to do first?
Correct Answer: A
Rationale: Palpating distal pulses first ensures adequate circulation post-catheterization, detecting complications like arterial occlusion.
Question 5 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.