Extract:

Question 1 of 5

Which nursing diagnosis would be priority for the client diagnosed with myocarditis?

Correct Answer: D

Rationale: Myocarditis impairs cardiac function, making activity intolerance (
D) the priority due to reduced cardiac output. Anxiety (
A), injury (
B), and increased output (
C) are less immediate or incorrect.

Question 2 of 5

The nurse is developing a discharge-teaching plan for the client diagnosed with congestive heart failure. Which interventions should be included in the plan? Select all that apply.

A. Notify the health-care provider of a weight gain of more than one (1) pound in a week. B. Teach the client how to count the radial pulse when taking digoxin, a cardiac glycoside. C. Instruct the client to remove the saltshaker from the dinner table. D. Encourage the client to monitor urine output for change in color to become dark. E. Discuss the importance of taking the loop diuretic furosemide at bedtime.

Correct Answer: A,B,C

Rationale: Weight gain monitoring (
A) detects fluid retention, pulse counting (
B) ensures digoxin safety, and removing salt (
C) reduces sodium intake. Dark urine (
D) is not specific, and furosemide at bedtime (E) causes nocturia, so morning dosing is preferred.

Question 3 of 5

The nurse is administering morning medications. Which medication should be administered first?

A. The cardiac glycoside medication, digoxin, to a client diagnosed with heart failure and who has 2+ edema of the feet. B. The sliding scale insulin to a client with a fasting blood glucose of 345 mg/dL who is demanding breakfast. C. The loop diuretic, furosemide, to a client with a 24-hour intake of 986 mL and an output of 1,400 mL. D. The ARB medication to a client whose blood pressure was reported by the unlicensed assistive personnel as 142/76.

Correct Answer: B

Rationale: Fasting glucose of 345 mg/dL (
B) requires immediate insulin to prevent complications, especially before eating. Digoxin (
A), furosemide (
C), and ARB (
D) are less urgent.

Question 4 of 5

Which client teaching should the nurse implement for the client diagnosed with coronary artery disease? Select all that apply.

A. Encourage a low-fat, low-cholesterol diet. B. Instruct the client to walk 30 minutes a day. C. Decrease the salt intake to two (2) g a day. D. Refer to a counselor for stress reduction techniques. E. Teach the client to increase fiber in the diet.

Correct Answer: A,B,D,E

Rationale: Low-fat/cholesterol diet (
A), walking (
B), stress reduction (
D), and high-fiber diet (E) reduce CAD risk. Salt restriction (
C) is more specific to CHF or hypertension.

Question 5 of 5

The nurse is administering a calcium channel blocker to the client diagnosed with a myocardial infarction. Which assessment data would cause the nurse to question administering this medication?

A. The client's apical pulse is 64. B. The client's calcium level is elevated. C. The client's telemetry shows occasional PVCs. D. The client's blood pressure is 90/58.

Correct Answer: D

Rationale: Hypotension (BP 90/58,
D) contraindicates calcium channel blockers, which lower BP further. Pulse 64 (
A), elevated calcium (
B), and PVCs (
C) are not contraindications.

Nurselytic

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Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions

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Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

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