NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which nursing action can best help reduce the client's anxiety in this situation?
Correct Answer: B
Rationale: Listening to the client's feelings validates their emotions and reduces anxiety by fostering trust and open communication.
Question 2 of 5
When the nurse is about to administer digoxin to a client, the client says, 'I think I need to see the eye doctor. Things seem to look kind of green today.' The nurse takes his vital signs, which are blood pressure = 150/94, pulse = 60 bpm, and respirations = 28. What is the most appropriate initial action for the nurse to take?
Correct Answer: B
Rationale: Visual disturbances, such as seeing a green or yellow halo, are signs of digoxin toxicity. The nurse should withhold the medication and report to the charge nurse for further evaluation.
Question 3 of 5
The nurse is caring for a client diagnosed with a myocardial infarction who is experiencing chest pain. Which interventions should the nurse implement? Select all that apply.
Correct Answer: B,C
Rationale: Aspirin (
B) reduces clot formation, and oxygen (
C) improves myocardial oxygenation. Morphine IM (
A) delays absorption, supine position (
D) increases preload, and nitroglycerin SC (E) is incorrect; SL is used.
Question 4 of 5
The client is exhibiting ventricular tachycardia. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Ventricular tachycardia requires assessing pulse/BP (
C) to determine if it’s pulseless (defibrillation,
B) or stable (amiodarone,
A). CPR (
D) is for pulseless states.
Question 5 of 5
What should be included in foot care for the client who has a peripheral vascular disorder?
Correct Answer: D
Rationale: Avoiding sun exposure prevents skin damage in clients with compromised circulation due to peripheral vascular disease. Soaking, walking barefoot, or applying lotion between toes increase infection or injury risk.