NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which modification used by the nurse is most appropriate when taking the blood pressure of a client who weighs 250 pounds?
Correct Answer: D
Rationale: An extra-large blood pressure cuff is appropriate for clients with larger arm circumferences, such as those who are obese, to ensure accurate readings. Using the thigh, lying down, or over-inflating the cuff does not address the need for proper cuff size.
Question 2 of 5
The client with pericarditis is prescribed a nonsteroidal anti-inflammatory drug (NSAID). Which teaching instruction should the nurse discuss with the client?
Correct Answer: C
Rationale: NSAIDs irritate the stomach; taking with food (
C) reduces GI upset. Tapering (
A) is for steroids, drowsiness (
B) is not typical, and waiting for severe pain (
D) delays relief.
Question 3 of 5
Which action by a newly hired nursing assistant indicates that the nurse needs to provide more instruction to the nursing assistant on how to accurately assess the client's pulse rate?
Correct Answer: A
Rationale: Using the thumb to check the pulse can result in counting the assistant's own pulse, leading to inaccurate readings.
Question 4 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 5 of 5
The nurse is teaching a class on valve replacements. Which statement identifies a disadvantage of having a biological tissue valve replacement?
Correct Answer: D
Rationale: Biological valves (
D) have limited durability, often requiring replacement. Anticoagulation (
A) is for mechanical valves, infections (
B) are not easier, and thromboembolism (
C) is lower but not a disadvantage.