NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which client would the nurse suspect of having a mitral valve prolapse?
Correct Answer: B
Rationale: Mitral valve prolapse is common in Marfan’s syndrome (
B) due to connective tissue defects. CHF (
A), atrial fibrillation (
C), and Down syndrome (
D) are not strongly associated.
Question 2 of 5
Which assessment data would the nurse expect to auscultate in the client diagnosed with mitral valve insufficiency?
Correct Answer: B
Rationale: Mitral insufficiency (regurgitation) causes a holosystolic murmur at the apex (
B) due to backflow. S1/S2 snap (
A) is mitral stenosis, ejection click (
C) is aortic/pulmonic, and high-pitched sound (
D) is nonspecific.
Question 3 of 5
The nurse is discussing the importance of exercise with the client diagnosed with coronary artery disease. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Walking 15 minutes 3 times a week (
B) is a safe, aerobic exercise for CAD. Isometric exercises (
A) increase BP, cold weather (
C) is a precaution, and open-toed shoes (
D) are irrelevant.
Question 4 of 5
The nurse is assessing the client diagnosed with congestive heart failure. Which signs/symptoms would indicate that the medical treatment has been effective?
Correct Answer: C,D
Rationale: Effective CHF treatment reduces fluid overload, allowing ADLs without dyspnea (
C) and minimal JVD (
D). Increased edema (
A) indicates worsening, and pulse-taking (
B) is a skill, not a treatment outcome.
Question 5 of 5
Which medical client problem should the nurse include in the plan of care for a client diagnosed with cardiomyopathy?
Correct Answer: A
Rationale: Cardiomyopathy impairs cardiac function, leading to heart failure (
A) as the primary medical problem. Activity intolerance (
B), powerlessness (
C), and grieving (
D) are secondary psychosocial issues.