NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which medical client problem should the nurse include in the plan of care for a client diagnosed with cardiomyopathy?
Correct Answer: A
Rationale: Cardiomyopathy impairs cardiac function, leading to heart failure (
A) as the primary medical problem. Activity intolerance (
B), powerlessness (
C), and grieving (
D) are secondary psychosocial issues.
Question 2 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.
Question 3 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 4 of 5
The client with coronary artery disease asks the nurse, 'Why do I get chest pain?' Which statement would be the most appropriate response by the nurse?
Correct Answer: A
Rationale: Chest pain in CAD is due to decreased oxygen to the heart muscle (
A), a clear explanation. Ischemia/hypoxemia (
B) is technical, pumping (
C) relates to heart failure, and lungs (
D) are incorrect.
Question 5 of 5
The client diagnosed with pericarditis is complaining of increased pain. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Increased pain in pericarditis may indicate complications like tamponade. Assessing for cardiac complications (
C) is the priority. Oxygen (
A), urinary output (
B), and spirometry (
D) are secondary.