NCLEX-PN
Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
Which signs/symptoms should the nurse assess in any client who has a long-term valvular heart disease? Select all that apply.
Correct Answer: A,B,C
Rationale: Valvular disease causes fluid overload, leading to PND (
A), orthopnea (
B), and cough (
C). Pericardial rub (
D) and pulsus paradoxus (E) are specific to pericarditis/tamponade.
Question 2 of 5
The client diagnosed with pericarditis is experiencing cardiac tamponade. Which collaborative intervention should the nurse anticipate for this client?
Correct Answer: A
Rationale: Cardiac tamponade requires pericardiocentesis (
A) to remove fluid. Enzymes (
B), ECG (
C), and heart/lung sounds (
D) are supportive but not primary.
Question 3 of 5
The client is in ventricular fibrillation. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Ventricular fibrillation requires CPR (
A), defibrillation (
C), crash cart (
D), and amiodarone (E). Adenosine (
B) is for SVT.
Question 4 of 5
The client is experiencing multifocal premature ventricular contractions. Which antidysrhythmic medication would the nurse expect the healthcare provider to order for this client?
Correct Answer: A
Rationale: Amiodarone (
A) treats ventricular dysrhythmias like PVCs. Atropine (
B) is for bradycardia, digoxin (
C) for heart failure/AF, and adenosine (
D) for SVT.
Question 5 of 5
The nurse is administering morning medications. Which medication should be administered first?
Correct Answer: B
Rationale: Fasting glucose of 345 mg/dL (
B) requires immediate insulin to prevent complications, especially before eating. Digoxin (
A), furosemide (
C), and ARB (
D) are less urgent.