ATI LPN
Cardiovascular Nursing Questions Questions
Question 1 of 5
48 yo woman with lung cancer presents with onset of weakness in her legs and falls. She has been having difficulty with losing control of urine. On motor exam, she presents with bilateral arm/leg weakness with increased tone. The most appropriate test would be:
Correct Answer: B
Rationale: Spinal cord compression from metastasis (lung cancer) is suspected with upper motor neuron signs and incontinence, requiring cervical-thoracic MRI.
Question 2 of 5
In counseling a newly diagnosed HIV+ patient, which of the following comments are most accurate(based on current data)?
Correct Answer: B
Rationale: Current data supports that HIV+ individuals can achieve a normal to near-normal lifespan with effective therapy.
Question 3 of 5
Woman presents with belly pain. She was taking acetaminophen 4 g/d for 7 days. PMH PVD. PE + tenderness no rebound. Labs: Na 138, K 4.9, Cl 102, HCO3 7, creatinine 1.4, glucose, serum osmolarity 295, lactate 2.5. ABG: pH 7.17, PCO2 of 18; UA: pH of 5.5, tr ketones. Surgery revealed no IBD. Which ONE of the following is the MOST likely cause of the metabolic acidosis in this patient?
Correct Answer: A
Rationale: Acetaminophen toxicity can lead to pyroglutamic acidosis, especially at high doses, causing severe anion gap metabolic acidosis.
Question 4 of 5
What are the major criteria in the updated Jones Criteria for Rheumatic Fever?
Correct Answer: B
Rationale: The updated Jones Criteria for diagnosing Rheumatic Fever include major manifestations like arthritis, carditis, erythema marginatum, subcutaneous nodules, and Sydenham chorea. Option B correctly lists four of these.
Question 5 of 5
The majority of tachydysrhythmias are believed to occur because of
Correct Answer: D
Rationale: Reentry is thought to be the culprit in most tachydysrhythmias. Reentry is a complex process in which a cardiac impulse continues to depolarize in a part of the heart after the main impulse has finished its path. Triggered activity occurs when an impulse is generated during or just after repolarization. Alterations in automaticity create electrolyte imbalances. Defective gap junctions are not related to tachydysrhythmias.