Questions 37

NCLEX-PN

NCLEX-PN Test Bank

Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions

Extract:


Question 1 of 5

What is the priority problem in the client diagnosed with congestive heart failure?

Correct Answer: B

Rationale: Decreased cardiac output (
B) is the primary problem in CHF, causing symptoms like fluid overload (
A). Activity intolerance (
C) and knowledge deficit (
D) are secondary.

Question 2 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for four clients on a telemetry unit. Which nursing task would be best for the nurse to delegate to the UAP?

Correct Answer: D

Rationale: Positioning for an x-ray (
D) is within the UAP’s scope and safe. Smoking (
A) is inappropriate, ICU transport (
B) requires nursing judgment, and discharge teaching (
C) is a nursing responsibility.

Question 3 of 5

The client is in ventricular fibrillation. Which interventions should the nurse implement? Select all that apply.

Correct Answer: A,C,D,E

Rationale: Ventricular fibrillation requires CPR (
A), defibrillation (
C), crash cart (
D), and amiodarone (E). Adenosine (
B) is for SVT.

Question 4 of 5

The charge nurse is making assignments for clients on a cardiac unit. Which client should the charge nurse assign to a new graduate nurse?

Correct Answer: C

Rationale: A client scheduled for cardiac catheterization (
C) is stable, suitable for a new graduate. MI (
A), unstable angina (
B), and chest pain (
D) require experienced care.

Question 5 of 5

The nurse identifies the concept of altered tissue perfusion related to a client admitted with atrial fibrillation. Which interventions should the nurse implement? Select all that apply.

Correct Answer: A,E,F

Rationale: Monitoring BP/apical rate (
A), anticoagulation status (E), and neurological status (F) address AF-related perfusion risks (clots, stroke). I/O (
B) is for fluid status, HOB elevation (
C) is for CHF, and Buerger Allen (
D) is for PAD.

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