NCLEX-PN
Cardiac Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which symptom would the nurse expect to observe if the client is having an allergic reaction to streptokinase (Streptase)?
Correct Answer: A
Rationale: Urticaria (hives) is a common sign of an allergic reaction to streptokinase, a thrombolytic agent.
Question 2 of 5
The nurse knows that the client understands how to determine when the nitroglycerin tablets need replacing when the client makes which statement?
Correct Answer: C
Rationale: Fresh nitroglycerin tablets cause a tingling sensation under the tongue; loss of this sensation indicates loss of potency.
Question 3 of 5
Which action by a newly hired nursing assistant indicates that the nurse needs to provide more instruction to the nursing assistant on how to accurately assess the client's pulse rate?
Correct Answer: A
Rationale: Using the thumb to check the pulse can result in counting the assistant's own pulse, leading to inaccurate readings.
Question 4 of 5
If the heart murmur is related to valve damage caused by a childhood infection, the nurse would expect the client to report having had which disease?
Correct Answer: C
Rationale: Rheumatic fever is associated with valvular damage due to streptococcal infection.
Question 5 of 5
After hearing the nurse's instructions about activity restrictions and the potentially dangerous consequences of certain activities, the client correctly states the importance for avoiding which of the following?
Correct Answer: B
Rationale: Straining during a bowel movement increases intrathoracic pressure, raising cardiac workload and MI risk.