NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which intervention should the nurse implement when administering a loop diuretic to a client diagnosed with coronary artery disease?
Correct Answer: B
Rationale: Loop diuretics cause hypokalemia, which can precipitate dysrhythmias in CAD. Assessing potassium (
B) is critical. Pulse (
A), glucose (
C), and SpO2 (
D) are less directly related.
Question 2 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 3 of 5
Which statement by the client diagnosed with coronary artery disease indicates that the client understands the discharge teaching concerning diet?
Correct Answer: B
Rationale: Baking or grilling meats (
B) reduces fat, aligning with a low-fat CAD diet. Six eggs (
A) are excessive, whole milk (
C) is high-fat, and avoiding pork (
D) is overly restrictive.
Question 4 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 5 of 5
The nurse is preparing to administer warfarin (Coumadin), an oral anticoagulant, to a client with a mechanical valve replacement. The client's INR is 2.7. Which action should the nurse implement?
Correct Answer: A
Rationale: INR 2.7 (
A) is within the therapeutic range (2–3) for mechanical valves, so administer warfarin. Vitamin K (
B) reverses anticoagulation, holding (
C) is unnecessary, and bleeding (
D) is routine but not primary.