NCLEX-PN
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.