NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
The nurse provides discharge instructions for a client who has recovered after a cardiac catheterization. Which instructions should be included? Select all that apply.
Correct Answer: A,C,D
Rationale: Showering prevents infection, generous fluids help flush contrast dye, and reporting worsening pain detects complications. Leg exercises, double flushing, and daily dressing changes are not standard.
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
Which nursing action is most appropriate to perform next?
Correct Answer: D
Rationale: Listening to the client's fears reduces anxiety and supports emotional preparation for surgery.
Question 5 of 5
The client tells the nurse of being extremely frightened. What is the most appropriate action for the nurse to take at this time?
Correct Answer: A
Rationale: Staying with the client provides emotional support, reducing fear during a crisis.