NCLEX Question of the Day

December 8, 2025

Psychosocial Integrity QID 249

During an initial client interview, a nurse notices the client has shallow, labored breathing and is unable to sit still. The client states they feel like they're having a 'heart attack.' After ruling out medical emergencies, which condition does the nurse suspect?

A:
Asthma attack.
B:
Myocardial infarction.
C:
Panic attack.
D:
Hypoglycemic event.

Explanation

Panic attacks can mimic symptoms of a heart attack, such as chest pain, heart palpitations, shortness of breath, and feelings of terror or impending doom. After medical causes are ruled out, the symptoms of restlessness, labored breathing, and the client's belief of experiencing a heart attack point to a psychological cause, such as a panic attack.

Asthma would involve wheezing and a focus on respiratory difficulty, a hypoglycemic event would typically present with symptoms such as shaking, sweating, and possibly confusion, and a myocardial infarction would be accompanied by ECG changes and cardiac biomarkers, which are not mentioned in the scenario.

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