Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

Which assessment finding documented by the nurse provides the best evidence that the client has a bacterial infection?

Correct Answer: C

Rationale: Fever is a hallmark of bacterial infection, such as in endocarditis.

Question 2 of 5

The client is being evaluated for valvular heart disease. Which information would be most significant?

A. The client has a history of coronary artery disease. B. There is a family history of valvular heart disease. C. The client has a history of smoking for 10 years. D. The client has a history of rheumatic heart disease.

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 3 of 5

After the femoral artery has been cannulated and the client is returned to the room, what should the nurse plan to do first?

A. Palpate the client's distal peripheral pulses10 pulses. B. Auscultate the client's heart and breath sounds. C. Percuss all four quadrants of the client's abdomen. D. Inspect the skin integrity in the client's groin.

Correct Answer: A

Rationale: Palpating distal pulses first ensures adequate circulation post-catheterization, detecting complications like arterial occlusion.

Question 4 of 5

Before administering the digoxin (Lanoxin) to the client, what nursing assessment is essential?

A. The client's heart rate B. The client's blood pressure C. The client's heart sounds D. The client's breath sounds

Correct Answer: A

Rationale: Check heart rate; withhold digoxin if <60 bpm to prevent toxicity.

Question 5 of 5

An older adult is scheduled for coronary arteriography during a cardiac catheterization. Which nursing intervention will be essential as she recovers from the diagnostic procedure on the hospital unit?

A. Encouraging frequent ambulation to prevent deep vein thrombosis B. Limiting fluid intake to prevent fluid overload C. Limiting dietary fiber to prevent diarrhea D. Assessing the arterial puncture site when taking vital signs

Correct Answer: D

Rationale: Assessing the arterial puncture site is essential to detect complications like bleeding or hematoma post-coronary arteriography.

Cardiac Disorders NCLEX Questions | Nurselytic

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