NCLEX-PN
Cardiac System NCLEX Questions Questions
Extract:
Question 1 of 5
Which side effects are most closely associated with the use of nitroglycerin tablets? Select all that apply.
Correct Answer: A,E
Rationale: Nitroglycerin causes vasodilation, leading to headache (due to cerebral vasodilation) and dizziness (due to hypotension). Backache, jaundice, and pallor are not typical.
Question 2 of 5
If the chest pain is not relieved after taking one nitroglycerin tablet, the nurse should teach the client to take what action?
Correct Answer: A
Rationale: If angina persists after one nitroglycerin tablet, another can be taken every 5 minutes up to three doses, then seek medical help if unrelieved.
Question 3 of 5
Which assessment finding should signal the nurse to withhold applying the client's nitroglycerin patch and notify the physician?
Correct Answer: D
Rationale: A blood pressure of 94/62 mm Hg indicates hypotension, a contraindication for nitroglycerin, which can further lower blood pressure.
Question 4 of 5
If the literature supplied by the fast-food chain indicates that one hot apple pie contains 2 g of protein, 14 g of fat, and 31 g of carbohydrates, how many calories are contained in one hot apple pie?
Correct Answer: C
Rationale: Calories are calculated as: (2 g protein × 4 kcal/g) + (14 g fat × 9 kcal/g) + (31 g carbohydrates × 4 kcal/g) = 8 + 126 + 124 = 258 kcal, closest to 270 kcal.
Question 5 of 5
Which statement by the client indicates an understanding of what will happen during the testing procedure?
Correct Answer: D
Rationale: During a coronary arteriogram, the injection of contrast dye often causes a warm or flushing sensation as it circulates.