NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which interventions should the nurse discuss with the client diagnosed with coronary artery disease? Select all that apply.
Correct Answer: A,B,C
Rationale: Stopping smoking (
A), exercising (
B), and vasodilators (
C) reduce CAD progression. Carotid endarterectomy (
D) is for stroke risk, and monounsaturated fats (E) are beneficial but not high amounts.
Question 2 of 5
Which data would cause the nurse to question administering digoxin to a client diagnosed with congestive heart failure?
Correct Answer: A
Rationale: Hypokalemia (K+ 3.2,
A) increases digoxin toxicity risk, warranting caution. Digoxin level 1.2 (
B) is therapeutic, pulse 64 (
C) is normal, and no yellow haze (
D) is expected.
Question 3 of 5
The nurse is caring for a client who goes into ventricular tachycardia. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Ventricular tachycardia requires assessing for a pulse (
B) to determine if it’s pulseless (needing CPR,
C) or stable (medication). Calling a code (
A) or monitoring (
D) depends on pulse status.
Question 4 of 5
The nurse assessing the client with pericardial effusion at 1600 notes the apical pulse is 72 and the BP is 138/94. At 1800, the client has neck vein distention, the apical pulse is 70, and the BP is 106/94. Which action would the nurse implement first?
Correct Answer: B
Rationale: JVD and hypotension (BP drop to 106/94) suggest cardiac tamponade; notifying the HCP (
B) is urgent. Staying calm (
A), lateral position (
C), and morphine (
D) are secondary.
Question 5 of 5
The nurse is transcribing the doctor’s orders for a client with congestive heart failure. The order reads 2.5 mg of Lanoxin daily. Which action should the nurse implement?
Correct Answer: A
Rationale: Lanoxin (digoxin) 2.5 mg (
A) exceeds the safe dose (0.125–0.25 mg daily), requiring HCP clarification. Pulse (
B), potassium (
C), and digoxin level (
D) are routine but secondary to dose error.