Pediatric Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

Which population is at a higher risk for dying from a myocardial infarction?

Correct Answer: D

Rationale: African American females (
D) have higher MI mortality rates due to increased prevalence of risk factors like hypertension and diabetes, and disparities in healthcare access. Caucasian males (
A), Hispanic females (
B), and Asian males (
C) have lower relative risk.

Question 2 of 5

Which potential complication should the nurse assess for in the client with infective endocarditis who has embolization of vegetative lesions from the mitral valve?

A. Pulmonary embolus (PE). B. Cerebrovascular accident. C. Hemoptysis. D. Deep vein thrombosis.

Correct Answer: B

Rationale: Mitral valve vegetations can embolize to the brain, causing a stroke (
B). PE (
A) is right-sided, hemoptysis (
C) is not typical, and DVT (
D) is unrelated to embolization.

Question 3 of 5

Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that the client is experiencing a myocardial infarction?

A. Midepigastric pain and pyrosis. B. Diaphoresis and cool, clammy skin. C. Intermittent claudication and pallor. D. Jugular vein distention and dependent edema.

Correct Answer: B

Rationale: MI causes diaphoresis and cool, clammy skin (
B) due to sympathetic activation. Epigastric pain/pyrosis (
A) suggest GI issues, claudication/pallor (
C) indicate PAD, and JVD/edema (
D) suggest heart failure.

Question 4 of 5

Which assessment data would the nurse expect to auscultate in the client diagnosed with mitral valve insufficiency?

A. A loud S1, S2 split, and a mitral opening snap. B. A holosystolic murmur heard best at the cardiac apex. C. A midsystolic ejection click or murmur heard at the base. D. A high-pitched sound heard at the third left intercostal space.

Correct Answer: B

Rationale: Mitral insufficiency (regurgitation) causes a holosystolic murmur at the apex (
B) due to backflow. S1/S2 snap (
A) is mitral stenosis, ejection click (
C) is aortic/pulmonic, and high-pitched sound (
D) is nonspecific.

Question 5 of 5

The 45-year-old male client diagnosed with essential hypertension has decided not to take his medications. The client's BP is 178/94, indicating a perfusion issue. Which question should the nurse ask the client first?

A. Do you have the money to buy your medication?' B. Does the medication give unwanted side effects?' C. Did you quit taking the medications because you don’t feel bad?' D. Can you tell me why you stopped taking the medication?'

Correct Answer: D

Rationale: Asking why the client stopped (
D) is open-ended, identifying barriers like side effects (
B) or asymptomatic disease (
C). Financial issues (
A) are secondary.

Pediatric Cardiac Disorders NCLEX Questions | Nurselytic

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