NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
When auscultating the client's heart and breath sounds during a routine shift assessment, which action by the nurse is most appropriate?
Correct Answer: B
Rationale: The bell of the stethoscope is best for low-pitched heart sounds in pericarditis.
Question 2 of 5
Which assessment finding offers the best evidence that the client can tolerate the activity involved in getting out of bed?
Correct Answer: C
Rationale: Stable heart rate indicates the heart can handle the increased demand of activity.
Question 3 of 5
Which assessment finding would most likely indicate that a client has thrombophlebitis in the leg?
Correct Answer: C
Rationale: Red, shiny skin is a common sign of thrombophlebitis due to inflammation and impaired venous return. Diminished pulses, color changes with elevation, or coolness are more indicative of arterial issues.
Question 4 of 5
When obtaining a health history from the client, the nurse would expect to learn that which of the following was the client's earliest symptom?
Correct Answer: B
Rationale: Dyspnea is often the earliest symptom of left-sided heart failure due to pulmonary congestion.
Question 5 of 5
Having heard the observer's comment, which statement by the nurse would be most helpful for an untrained individual to remember if a trained individual is not present?
Correct Answer: C
Rationale: Untrained individuals can perform compression-only CPR, pressing 2 inches deep at 100-120 per minute.