NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which meal would indicate the client understands the discharge teaching concerning the recommended diet for coronary artery disease?
Correct Answer: A
Rationale: Baked fish, steamed broccoli, and salad (
A) are low-fat and heart-healthy, aligning with CAD diet teaching. Enchiladas (
B), tuna with whole milk (
C), and fried chicken (
D) are high in fat/sodium.
Question 2 of 5
Which client would the nurse suspect of having a mitral valve prolapse?
Correct Answer: B
Rationale: Mitral valve prolapse is common in Marfan’s syndrome (
B) due to connective tissue defects. CHF (
A), atrial fibrillation (
C), and Down syndrome (
D) are not strongly associated.
Question 3 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.
Question 4 of 5
The intensive care department nurse is assessing the client who is 12 hours post-myocardial infarction. The nurse assesses an S3 heart sound. Which intervention should the nurse implement?
Correct Answer: A
Rationale: An S3 heart sound post-MI (
A) indicates heart failure, requiring HCP notification. Elevating HOB (
B) is supportive, documenting as normal (
C) is incorrect, and morphine (
D) is for pain.
Question 5 of 5
The client comes to the emergency department saying, 'I am having a heart attack.' Which question is most pertinent when assessing the client?
Correct Answer: A
Rationale: Describing chest pain (
A) is most pertinent to differentiate cardiac from non-cardiac causes. Activity (
B), diet (
C), and positional pain (
D) are secondary.