NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
When gathering nursing assessment data, which finding will adults with chronic cardiac diseases most frequently, the client is a good treatment.
Correct Answer: C
Rationale: Clubbed fingertips are common in chronic cardiac diseases due to chronic hypoxia.
Question 2 of 5
When a client returns from undergoing a cardiac catheterization, it is most essential for the nurse to:
Correct Answer: A
Rationale: Checking peripheral pulses post-cardiac catheterization is essential to detect complications like arterial occlusion or hematoma at the insertion site. Maintaining NPO, applying heat, or starting range of motion exercises immediately are not standard priorities.
Question 3 of 5
An adult client is admitted to the hospital with peripheral vascular disease of the lower extremities. He has several ischemic ulcers on each ankle and lower leg area. Other parts of his skin are shiny and taut with loss of hair. A primary nursing goal for this client should be to do which of the following?
Correct Answer: C
Rationale: Protecting from injury is critical for a client with peripheral vascular disease and ischemic ulcers to prevent infection and further tissue damage. Other goals are secondary.
Question 4 of 5
If the client understands the nurse's explanation of the heart's conduction system, which structure will the client identify as the site of the natural pacemaker? Place an X over the correct site.
Correct Answer: A
Rationale: The sinoatrial (S
A) node is the heart's natural pacemaker, initiating electrical impulses.
Question 5 of 5
The nurse obtains adult blood pressure readings on four separate clients. Which client should have a follow-up blood pressure check within 2 months?
Correct Answer: B,C
Rationale: A blood pressure of 132/98 mm Hg indicates stage 1 hypertension (systolic 130-139 or diastolic 90-99 mm Hg), requiring follow-up within 2 months to monitor and manage. The other readings are either normal (118/78) or prehypertension (138/88), which may not require such urgent follow-up.