NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
What should be included in foot care for the client who has a peripheral vascular disorder?
Correct Answer: D
Rationale: Avoiding sun exposure prevents skin damage in clients with compromised circulation due to peripheral vascular disease. Soaking, walking barefoot, or applying lotion between toes increase infection or injury risk.
Question 2 of 5
The nurse is functioning in the role of medication nurse during a code. Which should the nurse implement when administering amiodarone for ventricular tachycardia?
Correct Answer: D
Rationale: Amiodarone for VT is administered via IV pump (
D) per ACLS (e.g., 150 mg over 10 min). Rapid infusion (
A) risks hypotension, direct push (
B) is incorrect, and questioning (
C) is unnecessary.
Question 3 of 5
The nurse assessing the client with pericardial effusion at 1600 notes the apical pulse is 72 and the BP is 138/94. At 1800, the client has neck vein distention, the apical pulse is 70, and the BP is 106/94. Which action would the nurse implement first?
Correct Answer: B
Rationale: JVD and hypotension (BP drop to 106/94) suggest cardiac tamponade; notifying the HCP (
B) is urgent. Staying calm (
A), lateral position (
C), and morphine (
D) are secondary.
Question 4 of 5
After hearing the nurse's instructions about activity restrictions and the potentially dangerous consequences of certain activities, the client correctly states the importance for avoiding which of the following?
Correct Answer: B
Rationale: Straining during a bowel movement increases intrathoracic pressure, raising cardiac workload and MI risk.
Question 5 of 5
The nurse is transcribing the doctor’s orders for a client with congestive heart failure. The order reads 2.5 mg of Lanoxin daily. Which action should the nurse implement?
Correct Answer: A
Rationale: Lanoxin (digoxin) 2.5 mg (
A) exceeds the safe dose (0.125–0.25 mg daily), requiring HCP clarification. Pulse (
B), potassium (
C), and digoxin level (
D) are routine but secondary to dose error.