NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
Which assessment finding is most closely correlated with an evolving MI?
Correct Answer: A
Rationale: Nausea is a common symptom of myocardial infarction due to vagal stimulation or pain-induced stress response.
Question 2 of 5
The nurse assumes that the client understands how an echocardiogram is performed when that client tells the nurse that this examination involves imaging the heart using which of one of the following?
Correct Answer: A
Rationale: An echocardiogram uses ultrasound waves to create images of the heart's structure and function.
Question 3 of 5
When the nurse at the physician's office reviews the client's medical record, which finding is the best indication that the client's heart has been affected by sustained high blood pressure?
Correct Answer: C
Rationale: A moderate heart disorder, such as left ventricular hypertrophy, is a common consequence of sustained hypertension due to increased workload on the heart. The other options are less specific to hypertensive heart damage.
Question 4 of 5
An adult who is admitted for a cardiac catheterization asks the nurse if she will be asleep during the cardiac catheterization. What is the best initial response for the nurse to make?
Correct Answer: B
Rationale: During cardiac catheterization, clients receive sedation but remain awake, as their cooperation may be needed. General anesthesia is not used, and pain is managed with sedation, not additional anesthetics. Asking 'why' may make the client defensive and does not provide the requested information.
Question 5 of 5
The nurse anticipates that the client will most likely demonstrate which emotional response in relation to the development of heart failure?
Correct Answer: B
Rationale: Anxiety is common in CHF due to breathlessness and fear of disease progression.