UWorld NCLEX-PN Rationale-based
Answers / Newest Updated 2025/26.
B/P Medication side effects? - Answer- fatigue
- erectile dysfunction
- dizziness
Angina pectoris risk factors? - Answer- Smoking
- Extreme temperatures
- Physical exertion (including sex)
- Intense emotion
- Coronary artery narrowing
- Stimulants (cocaine, amphetamines)
Define angina pectoris - AnswerChest pain due to myocardial ischemia (decreased
blood flow to heart).
Purpose of an ICD (implantable cardioverter defibrillator)? - Answer- sense and
defibrillate life-threatening dysrhythmias.
- overdrive pacing for rapid heart rhythms
- back-up pacing for bradycardia that may occur after defibrillation.
Postoperative teaching for ICD? - AnswerDon't lift arm of affected side above the
shoulder unless cleared by the health care provider.
Where is an ICD placed? - AnswerIn the endometrium via the subclavian vein.
Home care instructions for discharging a patient with heart failure following myocardial
infarction? - Answer- How to take own pulse
- Monitoring weight daily
- Reduction of sodium in diet
- Take blood pressure and keep record of it
- Avoid temperature extremes
- Increase walking, but plan for rest periods
Chronic Venous Insufficiency (CVI) s/sx? - Answer- Brownish skin discoloration on
lower extremities
- Chronic edema
- Inflammation
- Leathery skin
- Venous leg ulcers inside of ankle
How to improve pain due to acute pericarditis? - AnswerSit up and lean forward
, Pericarditis treatment? - AnswerNSAIDs or aspirin plus colchicine.
Pericarditis is characterized by what symptom? - AnswerPleuritic chest pain.
Pericarditis is known to be aggravated by what actions? - AnswerInspiration and
coughing.
Normal urinary output? - Answer30 mL/hr
Urinary output below 30 ml/hr may signify what? - Answer- low vascular volume
- decreased renal perfusion
- intrinsic kidney injury
- urine outflow obstruction
A client with heart failure with decreased urine output, what action is the priority? -
AnswerAuscultate for lung sounds to assess for crackles due to decreased cardiac
function and buildup of fluid in the lungs.
Anticipated treatment for a client with decreased urine output r/t to heart failure? -
AnswerLoop diuretics.
Critical and life-threatening PTT value? - Answer> 100 sec.
Common IV Heparin complications? - Answer- GI bleeds
- Epistaxis
- Hematuria
Lab value taken for heparin therapy? - AnswerPTT
Instructions to prevent recurrent episodes for Raynaud phenomenon? - Answer-
Avoid excess caffeine
- Refain using tobacco products
- Wear gloves handling cold objects
- Reduce cold exposure, wear warm layers in cold weather
- Implement stress-management strategies (yoga, tai-chi)
- Avoid vasoconstricting drugs (cocaine, amphetamines)
Treatment for Raynaud's phenomenon? - AnswerVasodilators, calcium channel
blockers
Teachings for patient who had coronary artery bypass grafting? - Answer- Refrain
lifting weights 5 lb. <
- Notify HCP of swelling, redness, or drainage at incision site or chest pain/SOB that
does not subside with rest
Answers / Newest Updated 2025/26.
B/P Medication side effects? - Answer- fatigue
- erectile dysfunction
- dizziness
Angina pectoris risk factors? - Answer- Smoking
- Extreme temperatures
- Physical exertion (including sex)
- Intense emotion
- Coronary artery narrowing
- Stimulants (cocaine, amphetamines)
Define angina pectoris - AnswerChest pain due to myocardial ischemia (decreased
blood flow to heart).
Purpose of an ICD (implantable cardioverter defibrillator)? - Answer- sense and
defibrillate life-threatening dysrhythmias.
- overdrive pacing for rapid heart rhythms
- back-up pacing for bradycardia that may occur after defibrillation.
Postoperative teaching for ICD? - AnswerDon't lift arm of affected side above the
shoulder unless cleared by the health care provider.
Where is an ICD placed? - AnswerIn the endometrium via the subclavian vein.
Home care instructions for discharging a patient with heart failure following myocardial
infarction? - Answer- How to take own pulse
- Monitoring weight daily
- Reduction of sodium in diet
- Take blood pressure and keep record of it
- Avoid temperature extremes
- Increase walking, but plan for rest periods
Chronic Venous Insufficiency (CVI) s/sx? - Answer- Brownish skin discoloration on
lower extremities
- Chronic edema
- Inflammation
- Leathery skin
- Venous leg ulcers inside of ankle
How to improve pain due to acute pericarditis? - AnswerSit up and lean forward
, Pericarditis treatment? - AnswerNSAIDs or aspirin plus colchicine.
Pericarditis is characterized by what symptom? - AnswerPleuritic chest pain.
Pericarditis is known to be aggravated by what actions? - AnswerInspiration and
coughing.
Normal urinary output? - Answer30 mL/hr
Urinary output below 30 ml/hr may signify what? - Answer- low vascular volume
- decreased renal perfusion
- intrinsic kidney injury
- urine outflow obstruction
A client with heart failure with decreased urine output, what action is the priority? -
AnswerAuscultate for lung sounds to assess for crackles due to decreased cardiac
function and buildup of fluid in the lungs.
Anticipated treatment for a client with decreased urine output r/t to heart failure? -
AnswerLoop diuretics.
Critical and life-threatening PTT value? - Answer> 100 sec.
Common IV Heparin complications? - Answer- GI bleeds
- Epistaxis
- Hematuria
Lab value taken for heparin therapy? - AnswerPTT
Instructions to prevent recurrent episodes for Raynaud phenomenon? - Answer-
Avoid excess caffeine
- Refain using tobacco products
- Wear gloves handling cold objects
- Reduce cold exposure, wear warm layers in cold weather
- Implement stress-management strategies (yoga, tai-chi)
- Avoid vasoconstricting drugs (cocaine, amphetamines)
Treatment for Raynaud's phenomenon? - AnswerVasodilators, calcium channel
blockers
Teachings for patient who had coronary artery bypass grafting? - Answer- Refrain
lifting weights 5 lb. <
- Notify HCP of swelling, redness, or drainage at incision site or chest pain/SOB that
does not subside with rest
