NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which nursing action would best reduce the client's energy, the client?
Correct Answer: B
Rationale: Staggering activities conserves energy, reducing cardiac workload in recovery.
Question 2 of 5
Which cardiac enzyme would the nurse expect to elevate first in a client diagnosed with a myocardial infarction (MI)?
Correct Answer: C
Rationale: Troponin (
C) rises within 3–4 hours post-MI, making it the earliest marker. CK-MB (
A) rises in 4–6 hours, LDH (
B) in 24–48 hours, and WBCs (
D) are nonspecific.
Question 3 of 5
The charge nurse is making shift assignments for the medical floor. Which client should be assigned to the most experienced registered nurse?
Correct Answer: C
Rationale: Tachycardia, tachypnea, and hypotension (
C) suggest instability, requiring experienced nursing care. Discharging CHF (
A), incontinence/vomiting (
B), and pleuritic pain (
D) are less acute.
Question 4 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 5 of 5
While the client takes propranolol (Inderal), what changes would the nurse expect to see in the client's pulse rate?
Correct Answer: D
Rationale: Propranolol slows the heart rate by blocking beta-adrenergic receptors, reducing sympathetic stimulation.