NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which finding would strongly indicate that the cardioversion procedure has been successful?
Correct Answer: B
Rationale: Restoration of normal sinus rhythm is the primary goal of cardioversion.
Question 2 of 5
A client who has been treated for angina is discharged in stable condition. At a clinic visit, he tells the nurse he has anginal pain when he has sexual intercourse with his wife. What is the best response for the nurse to make?
Correct Answer: C
Rationale: Engaging in sexual activity when well-rested and relaxed reduces cardiac demand, minimizing angina risk. Questioning feelings, suggesting positions, or recommending alcohol are less appropriate or potentially harmful.
Question 3 of 5
An adult has a coagulation time of 20 minutes. The nurse should observe the client for which of the following?
Correct Answer: B
Rationale: The normal clotting time is 9 to 12 minutes. A prolonged clotting time suggests a bleeding tendency, so the client should be observed for signs of bleeding, such as ecchymotic areas. Blood clots would occur with a shorter clotting time. Jaundice is related to liver damage or red blood cell breakdown. Infection is associated with low white blood cell counts.
Question 4 of 5
The client with coronary artery disease is prescribed a Holter monitor. Which intervention should the nurse implement?
Correct Answer: A
Rationale: A diary (
A) correlates symptoms with ECG changes on the Holter monitor. Removal (
B) is incorrect, medications (
C) continue, and decreasing activity (
D) is unnecessary.
Question 5 of 5
If the client's pain is due to a myocardial infarction (MI), which prescribed medication would be most helpful?
Correct Answer: C
Rationale: Aspirin is critical in MI to inhibit platelet aggregation and prevent further thrombus formation.