Pediatric Cardiac Disorders NCLEX Questions | Nurselytic

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Pediatric Cardiac Disorders NCLEX Questions Questions

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Question 1 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?

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 2 of 5

The client shows ventricular fibrillation on the telemetry at the nurse’s station. Which action should the telemetry nurse implement first?

Correct Answer: C

Rationale: Ventricular fibrillation is a code situation. Calling a STAT code (
C) initiates the response team. Epinephrine (
A), defibrillation (
B), and CPR (
D) follow code activation.

Question 3 of 5

The nurse is assisting with a synchronized cardioversion on a client in atrial fibrillation. When the machine is activated, there is a pause. What action should the nurse take?

Correct Answer: A

Rationale: A pause in synchronized cardioversion is normal as the machine syncs with the QRS complex; wait for discharge (
A). 'All clear' (
B) is for defibrillation, checking client (
C) is premature, and increasing joules (
D) is incorrect.

Question 4 of 5

According to the 2010 American Heart Association Guidelines, which steps of cardiopulmonary resuscitation for an adult suffering from a cardiac arrest should the nurse teach individuals in the community? Rank in order of performance.

Order the Items

Source Container

Place the hands over the lower half of the sternum.
Look for obvious signs of breathing.
Begin compressions at a ratio of 30:2.
Call for an AED immediately.
Position the victim on the back.

Correct Answer: E,B,D,A,C

Rationale: 1. Position on back (E): Ensures a firm surface. 2. Look for breathing (
B): Confirms arrest. 3. Call for AED (
D): Activates help. 4. Place hands on sternum (
A): Prepares for compressions. 5. Begin compressions 30:2 (
C): Starts CPR.

Question 5 of 5

The nurse is discussing the importance of exercise with the client diagnosed with coronary artery disease. Which intervention should the nurse implement?

Correct Answer: B

Rationale: Walking 15 minutes 3 times a week (
B) is a safe, aerobic exercise for CAD. Isometric exercises (
A) increase BP, cold weather (
C) is a precaution, and open-toed shoes (
D) are irrelevant.

Similar Questions

The client diagnosed with a myocardial infarction asks the nurse, 'Why do I have to rest and take it easy? My chest doesn’t hurt anymore.' Which statement would be the nurse’s best response?
The home health nurse is assigned a client diagnosed with heart failure. Which should the nurse implement? Select all that apply.
The nurse is caring for a client diagnosed with coronary artery disease (CAD). Which should the nurse teach the client prior to discharge?
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?
Which potential complication should the nurse assess for in the client with infective endocarditis who has embolization of vegetative lesions from the mitral valve?

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