NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
Which client problem has priority for the client with a cardiac dysrhythmia?
Correct Answer: B
Rationale: Dysrhythmias primarily reduce cardiac output (
B), impacting perfusion, making it the priority. Comfort (
A), gas exchange (
C), and activity (
D) are secondary.
Question 2 of 5
The nurse is told in report the client has aortic stenosis. Which anatomical position should the nurse auscultate to assess the murmur?
Correct Answer: A
Rationale: Aortic stenosis murmur is best heard at the second intercostal space, right sternal notch (
A), where the aortic root is closest. Erb’s point (
B), left sternal notch (
C), and fourth space (
D) are for other murmurs.
Question 3 of 5
The nurse is administering a calcium channel blocker to the client diagnosed with a myocardial infarction. Which assessment data would cause the nurse to question administering this medication?
Correct Answer: D
Rationale: Hypotension (BP 90/58,
D) contraindicates calcium channel blockers, which lower BP further. Pulse 64 (
A), elevated calcium (
B), and PVCs (
C) are not contraindications.
Question 4 of 5
The client is in ventricular fibrillation. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Ventricular fibrillation requires CPR (
A), defibrillation (
C), crash cart (
D), and amiodarone (E). Adenosine (
B) is for SVT.
Question 5 of 5
What is the priority problem in the client diagnosed with congestive heart failure?
Correct Answer: B
Rationale: Decreased cardiac output (
B) is the primary problem in CHF, causing symptoms like fluid overload (
A). Activity intolerance (
C) and knowledge deficit (
D) are secondary.