NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which action by a newly hired nursing assistant indicates that the nurse needs to provide more instruction to the nursing assistant on how to accurately assess the client's pulse rate?
Correct Answer: A
Rationale: Using the thumb to check the pulse can result in counting the assistant's own pulse, leading to inaccurate readings.
Question 2 of 5
The client who is one (1) day postoperative coronary artery bypass surgery is exhibiting sinus tachycardia. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Sinus tachycardia post-CABG is often due to pain (
D), which should be assessed first. Heart rate (
A), notifying (
B), and cardioversion (
C) follow if needed.
Question 3 of 5
After the client has been successfully resuscitated by the nurse, which body position is most correct while awaiting transfer to the emergency department?
Correct Answer: D
Rationale: Flat with knees extended ensures airway patency and circulation stability post-resuscitation.
Question 4 of 5
The client is being evaluated for valvular heart disease. Which information would be most significant?
Correct Answer: D
Rationale: Rheumatic heart disease (
D) is a major cause of valvular disease, especially mitral/aortic. CAD (
A), family history (
B), and smoking (
C) are less directly causative.
Question 5 of 5
The nurse knows that the client understands the physician's explanation of the PTCA procedure when the client makes which statement?
Correct Answer: A
Rationale: PTCA involves inflating a balloon-tipped catheter to open a narrowed coronary artery, improving blood flow.