NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
What should be included in the teaching plan for an adult who has hypertension?
Correct Answer: C
Rationale: Reducing alcohol intake helps manage hypertension by lowering blood pressure. Calcium reduction, avoiding aerobic exercise, or limiting fluids are not standard recommendations.
Question 2 of 5
Which symptom would the nurse expect to observe if the client is having an allergic reaction to streptokinase (Streptase)?
Correct Answer: A
Rationale: Urticaria (hives) is a common sign of an allergic reaction to streptokinase, a thrombolytic agent.
Question 3 of 5
The client is exhibiting ventricular tachycardia. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Ventricular tachycardia requires assessing pulse/BP (
C) to determine if it’s pulseless (defibrillation,
B) or stable (amiodarone,
A). CPR (
D) is for pulseless states.
Question 4 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.
Question 5 of 5
When the client returns to the room after the percutaneous transluminal coronary angioplasty (PTCA) procedure, which assessment finding should be reported immediately to the physician?
Correct Answer: D
Rationale: Chest pain post-PTCA may indicate re-occlusion or complications like stent thrombosis, requiring immediate reporting.