ATI Med-Surg Cardiovascular Test Bank -Nurselytic

Question 1 of 5

Based on these findings, which patient has the highest cardiac risk?

A. The man, because his HDL is lower B. The woman, because her HDL is higher C. The woman, because her cholesterol is higher D. The man, because his cholesterol-to-HDL ratio is higher

Correct Answer: D

Rationale: A higher cholesterol-to-HDL ratio increases cardiac risk.

Question 2 of 5

You are observing the cardiac rhythms for patients in the coronary care unit. Which of these patients will need immediate intervention?

A. A patient admitted with heart failure who has atrial fibrillation with a rate of 88 while at rest. B. A patient with a newly implanted demand ventricular pacemaker, who has occasional periods of sinus rhythm, rate 90 to 100. C. A patient who has just arrived on the unit with an acute MI and has sinus rhythm, rate 76, with frequent premature ventricular contractions. D. A patient who recently started taking atenolol (Tenormin) and has a first-degree heart block, rate 58.

Correct Answer: C

Rationale: Frequent PVCs in a patient with acute MI can lead to more serious arrhythmias and require immediate attention.

Question 3 of 5

PFT (Pulmonary Function Test).

A. Spirometry B. Diffusion capacity C. Both A and B D. None of the above

Correct Answer: C

Rationale: PFTs assess lung function using spirometry and diffusion tests.

Question 4 of 5

What does the nursing responsibility in the management of the patient with hypertensive urgency often include?

A. Monitoring hourly urine output for drug effectiveness B. Titration of IV drug dosages based on BP measurements every 2 to 3 minutes C. Providing continuous electrocardiographic (ECG) monitoring to detect side effects of the drugs D. Instructing the patient to follow up with a health care professional within 24 hours after outpatient treatment

Correct Answer: D

Rationale: Follow-up ensures ongoing management.

Question 5 of 5

Why must unstable angina be identified and rapidly treated?

A. The pain may be severe and disabling B. ECG changes and dysrhythmias may occur during an attack C. Atherosclerotic plaque deterioration may cause complete thrombus of the vessel lumen D. Spasm of a major coronary artery may cause total occlusion of the vessel with progression to MI

Correct Answer: C

Rationale: Plaque rupture increases MI risk.

ATI Med-Surg Cardiovascular Test Bank -Nurselytic

Nurselytic

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