NCLEX Review about Cardiac Nursing (1-5)

NCLEX Review about Cardiac Nursing

1. Who among these clients with congenital heart diseases should be cared for first by the nurse?

a) the child with coarctation of aorta with elevated blood pressure in the upper extremity
b) the child with tetralogy of Fallot with clubbing of fingers and elevated red blood cells
c) the child with ductus arteriosus who experiences fatigue after feeding
d) the child with ventricular septal defect who murmurs on auscultation of the chest

2. The child had been diagnosed to have rheumatic fever. Which of the following does the nurse expect to assess in the child?

a) painless nodules in bony prominence
b) decreased antistreptoysin O (ASO) titer
c) desquamation of the skin on the tips of finger and toes
d) high-grade fever that spikes in the morning

3. The nurse teaches the mother on lanoxin (digoxin) administration to an infant. Which of the following statements when made by the mother indicates that the teaching is effective?

a) I can give the medication to my child as long as his heart rate is above to 70 beats per minute
b) I will give the medication one hour before or 2 hours after feeding
c) I will mix the medication with the milk feeding
d) I will mix the medication with mashed fruits

4. Which of the following is most important to monitor in the client after surgery for abdominal aortic aneurysm?

a) intake and output measurement every shift
b) blood pressure every 4 hours
c) body temperature every 4 hours
d) abdominal girth

5. The client experiences intermittent claudification. Which of the following should be included in the nursing care plan of the client to promote comfort and general condition?

a) elevate the legs when sitting or lying supine
b) apply warm compresses to the legs
c) encourage progressive exercises
d) apply elastic bandage on the legs





NCLEX Review about Cardiac Nursing:
ANSWERS AND RATIONALE

1) C
- the client is experiencing hypoxia. Need for oxygenation take priority. Choices A, B and D are expected findings.

2) A
- subcutaneous nodules are painless swellings. Other signs and symptoms of rheumatic fever are: migrating polyarthritis, increased ASO titer, increased ESR, arthralgia, fever. Choice C describes kawasaki disease.

3) B
- digoxin should be given on empty stomach. This ensures adequate absorption of the medication. In an infant, digoxin is not given if the apical pulse is below 90-110 bpm. For older children, if the apical pulse is below 70 bpm, the drug is also withheld.

4) D
- internal bleeding will cause accumulation of blood within the abdominal cavity. Increase in abdominal girth is an accurate indicator of this complication.

5) C
- progressive exercises, especially walking promote arterial collateral circulation (intermittent claudification is a sign of arterial insufficiency).



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Related Topics:

• NCLEX Review about Cardiac Nursing (6-10)

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