NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
Which assessment finding offers the best evidence that the client can tolerate the activity involved in getting out of bed?
Correct Answer: C
Rationale: Stable heart rate indicates the heart can handle the increased demand of activity.
Question 2 of 5
Please indicate with an X the best anatomic area for the nurse to auscultate mitral valve sounds.
Correct Answer: A
Rationale: Mitral valve sounds are best heard at the apex (fifth intercostal space, midclavicular line).
Question 3 of 5
An adult client is admitted to the hospital with peripheral vascular disease of the lower extremities. He has several ischemic ulcers on each ankle and lower leg area. Other parts of his skin are shiny and taut with loss of hair. A primary nursing goal for this client should be to do which of the following?
Correct Answer: C
Rationale: Protecting from injury is critical for a client with peripheral vascular disease and ischemic ulcers to prevent infection and further tissue damage. Other goals are secondary.
Question 4 of 5
Which description of chest pain is most characteristic of a client experiencing myocardial infarction (MI)?
Correct Answer: D
Rationale: MI pain is typically continuous, severe, and unrelenting, unlike the intermittent pain of angina.
Question 5 of 5
Avoiding which of the following foods is the best evidence that the client understands the nurse's dietary instructions?
Correct Answer: A
Rationale: Pepperoni pizza is high in fat and sodium, which should be avoided in a low-fat, low-sodium diet post-MI.