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NCLEX PN· Cardiac · Pediatric Cardiac Disorders NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client diagnosed with coronary artery disease (CAD). Which should the nurse teach the client prior to discharge?

A. Carry your nitroglycerin tablets in a brown bottle.
B. Swallow a nitroglycerin tablet at the first sign of angina.
C. If one nitroglycerin tablet does not work in 10 minutes, take another.
D. Nitroglycerin tablets have a fruity odor if they are potent.

Expert Explanatory Rationale

Correct Answer: Carry your nitroglycerin tablets in a brown bottle.

Question 2 of 5

The client shows ventricular fibrillation on the telemetry at the nurse's station. Which action should the telemetry nurse implement first?

A. Administer epinephrine IVP.
B. Prepare to defibrillate the client.
C. Call a STAT code.
D. Start cardiopulmonary resuscitation (CPR).

Expert Explanatory Rationale

Correct Answer: Call a STAT code.

Question 3 of 5

The client diagnosed with congestive heart failure is complaining of leg cramps at night. Which nursing interventions should be implemented?

A. Check the client for peripheral edema and make sure the client takes a diuretic early in the day.
B. Monitor the client's potassium level and assess the client's intake of bananas and orange juice.
C. Determine if the client has gained weight and instruct the client to keep the legs elevated.
D. Instruct the client to ambulate frequently and perform calf-muscle stretching exercises daily.

Expert Explanatory Rationale

Correct Answer: Monitor the client's potassium level and assess the client's intake of bananas and orange juice.

Question 4 of 5

The intensive care department nurse is assessing the client who is 12 hours post-myocardial infarction. The nurse assesses an S3 heart sound. Which intervention should the nurse implement?

A. Notify the health-care provider immediately.
B. Elevate the head of the client's bed.
C. Document this as a normal and expected finding.
D. Administer morphine intravenously.

Expert Explanatory Rationale

Correct Answer: Notify the health-care provider immediately.

Question 5 of 5

Which meal would indicate the client understands the discharge teaching concerning the recommended diet for coronary artery disease?

A. Baked fish, steamed broccoli, and garden salad.
B. Enchilada dinner with fried rice and refried beans.
C. Tuna salad sandwich on white bread and whole milk.
D. Fried chicken, mashed potatoes, and gravy.

Expert Explanatory Rationale

Correct Answer: Baked fish, steamed broccoli, and garden salad.

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