NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which statement by the nurse is the best explanation for why the client needs to take the prescribed medication?
Correct Answer: D
Rationale: Nafcillin is an antibiotic used to prevent bacterial endocarditis in valvular disease.
Question 2 of 5
An adult who is receiving heparin asks the nurse why it cannot be given by mouth. The nurse responds that heparin is given parenterally because:
Correct Answer: AUG
Rationale: Heparin is a protein and is destroyed by gastric secretions, requiring parenteral administration (intravenously or subcutaneously). It does not irritate the gastric or intestinal lining, and while parenteral administration allows faster therapeutic levels, the primary reason is its destruction in the stomach.
Question 3 of 5
To assess the area where the permanent pacemaker battery, the nurse knows to examine which area of the skin?
Correct Answer: D
Rationale: Pacemaker generators are typically implanted below the right clavicle.
Question 4 of 5
Because the client is exhibiting signs and symptoms of congestive heart failure (CHF), which position suggested by the nurse is most beneficial for the client at this time?
Correct Answer: D
Rationale: Semi-Fowler's position (30-45 degrees) reduces preload and eases breathing in CHF.
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.