NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
Which assessment finding would most likely indicate that a client has thrombophlebitis in the leg?
Correct Answer: C
Rationale: Red, shiny skin is a common sign of thrombophlebitis due to inflammation and impaired venous return. Diminished pulses, color changes with elevation, or coolness are more indicative of arterial issues.
Question 2 of 5
The client tells the nurse of being extremely frightened. What is the most appropriate action for the nurse to take at this time?
Correct Answer: A
Rationale: Staying with the client provides emotional support, reducing fear during a crisis.
Question 3 of 5
After providing medication instructions, the best evidence that the client knows this drug's potential side effects is when the client states it may cause which adverse effect?
Correct Answer: A
Rationale: Atorvastatin (Lipitor) can cause muscle pain (myalgia) as a common side effect, potentially progressing to rhabdomyolysis in severe cases.
Question 4 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 5 of 5
A client has an elevated AST 24 hours following chest pain and shortness of breath. This is suggestive of which of the following?
Correct Answer: C
Rationale: AST is an enzyme released in response to tissue damage. The symptoms of chest pain and shortness of breath, along with elevated AST 24 hours later, are suggestive of myocardial infarction. AST rises after a myocardial infarction but may also rise with liver damage or skeletal muscle injury. Gallbladder disease typically presents with pain in the right scapula region and would not have an elevated AST.