Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

Which nursing action is most appropriate when applying a new transdermal patient?

Correct Answer: A

Rationale: Rotating the application site for a nitroglycerin patch prevents skin irritation and ensures consistent drug absorption.

Question 2 of 5

What should be included in the teaching plan for an adult who has hypertension?

A. Reduce dietary calcium. B. Avoid aerobic exercise. C. Reduce alcohol intake. D. Limit fluid intake.

Correct Answer: C

Rationale: Reducing alcohol intake helps manage hypertension by lowering blood pressure. Calcium reduction, avoiding aerobic exercise, or limiting fluids are not standard recommendations.

Question 3 of 5

Which nursing action can best help reduce the client's anxiety in this situation?

A. Teach the client how coronary artery disease (CAD) is usually treated. B. Listen to the client's feelings about this condition. C. Explain that the procedure has been very helpful for other clients. D. Avoid discussing the heart catheterization until the client has relaxed.

Correct Answer: B

Rationale: Listening to the client's feelings validates their emotions and reduces anxiety by fostering trust and open communication.

Question 4 of 5

The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client?

A. Apical pulse rate of 110 and 4+ pitting edema of feet. B. Thick white sputum and crackles that clear with cough. C. The client sleeping with no pillow and eupnea. D. Radial pulse rate of 90 and CRT less than three (3) seconds.

Correct Answer: A

Rationale: CHF exacerbation causes fluid overload, leading to tachycardia (apical pulse 110) and severe edema (4+ pitting,
A). Thick sputum/crackles (
B) suggest pneumonia, sleeping flat with eupnea (
C) is unlikely, and normal CRT (
D) doesn’t reflect CHF severity.

Question 5 of 5

The nurse has received shift report. Which client should the nurse assess first?

A. The client diagnosed with coronary artery disease complaining of severe indigestion. B. The client diagnosed with congestive heart failure who has 3+ pitting edema. C. The client diagnosed with atrial fibrillation whose apical rate is 110 and irregular. D. The client diagnosed with sinus bradycardia who is complaining of being constipated.

Correct Answer: A

Rationale: Severe indigestion in CAD (
A) may indicate angina or MI, requiring immediate assessment. Edema (
B), tachycardia (
C), and constipation (
D) are less urgent.

Cardiac Disorders NCLEX Questions | Nurselytic

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