NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which intervention should the nurse implement when defibrillating a client who is in ventricular fibrillation?
Correct Answer: D
Rationale: Shouting 'all clear' (
D) ensures safety before defibrillation. Energy levels (
A) are 200–360 joules, oxygen (
B) is removed to prevent fire, and petroleum jelly (
C) is not used.
Question 2 of 5
Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that the client is experiencing a myocardial infarction?
Correct Answer: B
Rationale: MI causes diaphoresis and cool, clammy skin (
B) due to sympathetic activation. Epigastric pain/pyrosis (
A) suggest GI issues, claudication/pallor (
C) indicate PAD, and JVD/edema (
D) suggest heart failure.
Question 3 of 5
The client is admitted to the emergency department, and the nurse suspects a cardiac problem. Which assessment interventions should the nurse implement? Select all that apply.
Correct Answer: B,C,E
Rationale: Telemetry (
B), saline lock (
C), and STAT ECG (E) assess cardiac status. Urine specimen (
A) and BMP (
D) are not priority for suspected cardiac issues.
Question 4 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 5 of 5
The client is diagnosed with acute pericarditis. Which sign/symptom warrants immediate attention by the nurse?
Correct Answer: A
Rationale: Muffled heart sounds (
A) suggest cardiac tamponade, a life-threatening complication requiring immediate attention. Non-distended JVD (
B) is normal, bounding pulses (
C) are unrelated, and friction rub (
D) is expected.