NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which assessment finding is the best indication that oxygen therapy is effective?
Correct Answer: C
Rationale: The client's subjective improvement in symptoms indicates effective oxygen therapy.
Question 2 of 5
Before administering the digoxin (Lanoxin) to the client, what nursing assessment is essential?
Correct Answer: A
Rationale: Check heart rate; withhold digoxin if <60 bpm to prevent toxicity.
Question 3 of 5
The client is diagnosed with pericarditis. Which are the most common signs/symptoms the nurse would expect to find when assessing the client?
Correct Answer: D
Rationale: Pericarditis causes pleuritic chest pain, worse with inspiration (
D), due to pericardial inflammation. Pulsus paradoxus (
A) and rub are less common, fatigue/arthralgias (
B) are nonspecific, and petechiae/hemorrhages (
C) suggest endocarditis.
Question 4 of 5
Which interventions should the nurse discuss with the client diagnosed with coronary artery disease? Select all that apply.
Correct Answer: A,B,C
Rationale: Stopping smoking (
A), exercising (
B), and vasodilators (
C) reduce CAD progression. Carotid endarterectomy (
D) is for stroke risk, and monounsaturated fats (E) are beneficial but not high amounts.
Question 5 of 5
An adult client is admitted with a diagnosis of left-sided congestive heart failure. Which assessment finding would most likely be present?
Correct Answer: B
Rationale: Dyspnea is a hallmark symptom of left-sided congestive heart failure due to pulmonary congestion. Distended neck veins, hepatomegaly, and pitting edema are more associated with right-sided heart failure.