Questions 37

NCLEX-PN

NCLEX-PN Test Bank

Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions

Extract:


Question 1 of 5

Which preprocedure information should be taught to the female client having an exercise stress test in the morning?

Correct Answer: C

Rationale: Fasting for 4 hours (
C) prevents nausea and ensures accurate stress test results. Open-toed shoes (
A) are unsafe, bras (
B) are allowed, and beta blockers (
D) may be held to avoid blunting heart rate response.

Question 2 of 5

The client with coronary artery disease is prescribed transdermal nitroglycerin, a coronary vasodilator. Which behavior indicates the client understands the discharge teaching concerning this medication?

Correct Answer: B

Rationale: Removing the old patch (
B) ensures proper dosing and prevents overdose. Sublingual (
A) is incorrect, hairy areas (
C) reduce adhesion, and patches are changed every 24 hours (
D).

Question 3 of 5

What is the priority problem in the client diagnosed with congestive heart failure?

Correct Answer: B

Rationale: Decreased cardiac output (
B) is the primary problem in CHF, causing symptoms like fluid overload (
A). Activity intolerance (
C) and knowledge deficit (
D) are secondary.

Question 4 of 5

The client is diagnosed with pericarditis. When assessing the client, the nurse is unable to auscultate a friction rub. Which action should the nurse implement?

Correct Answer: C

Rationale: Leaning forward (
C) enhances auscultation of a pericardial friction rub, which may be positional. Notifying HCP (
A), documenting resolution (
B), or chest tube (
D) are premature or unrelated.

Question 5 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for four clients on a telemetry unit. Which nursing task would be best for the nurse to delegate to the UAP?

Correct Answer: D

Rationale: Positioning for an x-ray (
D) is within the UAP’s scope and safe. Smoking (
A) is inappropriate, ICU transport (
B) requires nursing judgment, and discharge teaching (
C) is a nursing responsibility.

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