NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which intervention should the nurse implement with the client diagnosed with dilated cardiomyopathy?
Correct Answer: B
Rationale: Dilated cardiomyopathy may require heart transplant (
B) as definitive treatment in severe cases. Supine position (
A) increases preload, CABG (
C) is for CAD, and calcium channel blockers (
D) are not first-line.
Question 2 of 5
Which assessment finding would support the possibility of right-sided heart failure?
Correct Answer: A
Rationale: Jugular vein distention indicates increased venous pressure, typical of right-sided heart failure.
Question 3 of 5
An adult client is admitted with a diagnosis of left-sided congestive heart failure. Which assessment finding would most likely be present?
Correct Answer: B
Rationale: Dyspnea is a hallmark symptom of left-sided congestive heart failure due to pulmonary congestion. Distended neck veins, hepatomegaly, and pitting edema are more associated with right-sided heart failure.
Question 4 of 5
After the coronary artery bypass graft (CABG) surgery, which assessment finding provides the best evidence that collateral circulation at the donor graft site is adequate?
Correct Answer: C
Rationale: Easy movement of the operative leg indicates adequate blood flow to the donor site, suggesting good collateral circulation.
Question 5 of 5
The male client is diagnosed with coronary artery disease (CAD) and is prescribed sublingual nitroglycerin. Which statement indicates the client needs more teaching?
Correct Answer: B
Rationale: Burning under the tongue (
B) is not a reliable indicator of nitroglycerin effectiveness; potency is maintained in a dark bottle (A,
C). Persistent pain requires up to 3 doses, not immediate ER (
D).