NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which laboratory data confirm the diagnosis of congestive heart failure?
Correct Answer: D
Rationale: Elevated BNP (
D) is specific for CHF, reflecting ventricular stress. CXR (
A) shows fluid but is not diagnostic, liver tests (
B) and BUN (
C) are nonspecific.
Question 2 of 5
The nurse on the telemetry unit has just received the a.m. shift report. Which client should the nurse assess first?
Correct Answer: A
Rationale: An S3 heart sound post-MI (
A) indicates heart failure or fluid overload, requiring immediate assessment. Edema (
B) is chronic, 94% SpO2 (
C) is stable, and elevated creatinine (
D) is expected in CRF.
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
The client diagnosed with an ST elevation myocardial infarction (STEMI) has developed 2+ edema bilaterally of the lower extremities and has crackles in all lung fields. Which should the nurse implement first?
Correct Answer: A
Rationale: Edema and crackles post-STEMI suggest heart failure; notifying the HCP (
A) ensures timely intervention. Diet (
B), ECG (
C), and furosemide (
D) follow HCP orders.
Question 5 of 5
Which potential complication should the nurse assess for in the client with infective endocarditis who has embolization of vegetative lesions from the mitral valve?
Correct Answer: B
Rationale: Mitral valve vegetations can embolize to the brain, causing a stroke (
B). PE (
A) is right-sided, hemoptysis (
C) is not typical, and DVT (
D) is unrelated to embolization.