NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which nursing response is most appropriate at this time?
Correct Answer: C
Rationale: Allowing the client to vent feelings addresses emotional distress and supports coping.
Question 2 of 5
Which assessment finding documented by the nurse provides the best evidence that the client has a bacterial infection?
Correct Answer: C
Rationale: Fever is a hallmark of bacterial infection, such as in endocarditis.
Question 3 of 5
Which assessment finding best supports the assumption that the client is a good treatment.
Correct Answer: A
Rationale: Pericardial friction rub is characteristic of pericarditis due to inflamed pericardial layers.
Question 4 of 5
During the postoperative period, what is the best rationale for the nurse frequently assessing the client's fluid status?
Correct Answer: B
Rationale: Urine output reflects renal perfusion, critical post-heart transplant to monitor graft function.
Question 5 of 5
The nurse counts an adult's apical heart beat at 110 beats per minute. The nurse describes this as:
Correct Answer: C
Rationale: Tachycardia in an adult is defined as a heart rate above 100 beats per minute. Asystole is cardiac arrest with no heartbeat. Bigeminy refers to heartbeats occurring in pairs. Bradycardia is a heart rate of 60 beats or less per minute.