NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which prothrombin time value would be considered normal for a client who is receiving warfarin (Coumadin)?
Correct Answer: B
Rationale: For a client receiving warfarin, the prothrombin time should be 1.5 to 2 times the normal value (11 to 12.5 seconds). Twenty seconds falls within this therapeutic range. Twelve seconds is normal for someone not on warfarin. Sixty seconds is normal for a partial thromboplastin time (PTT) test, and 98 seconds would be therapeutic for heparin, not warfarin.
Question 2 of 5
The charge nurse is making shift assignments for the medical floor. Which client should be assigned to the most experienced registered nurse?
Correct Answer: C
Rationale: Tachycardia, tachypnea, and hypotension (
C) suggest instability, requiring experienced nursing care. Discharging CHF (
A), incontinence/vomiting (
B), and pleuritic pain (
D) are less acute.
Question 3 of 5
Before the cardiac catheterization and coronary arteriogram, it is essential for the nurse will be taken about any allergy to iodine or which other substance?
Correct Answer: C
Rationale: Shellfish allergies often indicate a risk of iodine sensitivity, which is critical since contrast dye used in arteriograms contains iodine.
Question 4 of 5
What should be included in foot care for the client who has a peripheral vascular disorder?
Correct Answer: D
Rationale: Avoiding sun exposure prevents skin damage in clients with compromised circulation due to peripheral vascular disease. Soaking, walking barefoot, or applying lotion between toes increase infection or injury risk.
Question 5 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.