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NCLEX PN· Cardiac · Pediatric Cardiac Disorders NCLEX Questions Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client who suddenly complains of crushing substernal chest pain while ambulating in the hall. Which nursing action should the nurse implement first?

A. Call a Code Blue.

B. Assess the telemetry reading.

C. Take the client's apical pulse.

D. Have the client sit down.

Expert Explanatory Rationale

Correct Answer: Have the client sit down.

Question 2 of 5

The client is admitted to the medical unit to rule out carditis. Which question should the nurse ask the client during the admission interview to support this diagnosis?

A. Have you had a sore throat in the last month?'

B. Did you have rheumatic fever as a child?'

C. Do you have a family history of carditis?'

D. What over-the-counter (OTC) medications do you take?'

Expert Explanatory Rationale

Correct Answer: Did you have rheumatic fever as a child?'

Question 3 of 5

The nurse is assessing the client diagnosed with congestive heart failure. Which laboratory data would indicate that the client is in severe congestive heart failure?

A. An elevated B-type natriuretic peptide (BNP).

B. An elevated creatine kinase (CK-MB).

C. A positive D-dimer.

D. A positive ventilation/perfusion (V/Q) scan.

Expert Explanatory Rationale

Correct Answer: An elevated B-type natriuretic peptide (BNP).

Question 4 of 5

The nurse is working with a group of new graduates on a medical-surgical unit. Which should the nurse explain about completing first morning rounds on clients?

A. Perform a 'down and dirty' assessment on each client soon after receiving report.

B. Determine which client should have a bath and inform the unlicensed assistive personnel.

C. Give all the clients a wet wash to wash the face and a toothbrush and toothpaste.

D. Pick up any paper on the floor and get the room ready for morning physician rounds.

Expert Explanatory Rationale

Correct Answer: Perform a 'down and dirty' assessment on each client soon after receiving report.

Question 5 of 5

The nurse is administering a calcium channel blocker to the client diagnosed with a myocardial infarction. Which assessment data would cause the nurse to question administering this medication?

A. The client's apical pulse is 64.

B. The client's calcium level is elevated.

C. The client's telemetry shows occasional PVCs.

D. The client's blood pressure is 90/58.

Expert Explanatory Rationale

Correct Answer: The client's blood pressure is 90/58.

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