ATI LPN
Questions for Cardiovascular Assessment Questions
Question 1 of 5
54 year-old man with rectal carcinoma is receiving 5-FU by continuous infusion along with preoperative radiation. He presents with painfully swollen hands and feet, and blistering is noted. The most appropriate treatment for this patient is:
Correct Answer: B
Rationale: This describes hand-foot syndrome, a common 5-FU side effect. Holding treatment and supportive care (e.g., moisturizers, pain relief) allow recovery without permanently stopping therapy, which may still benefit the patient.
Question 2 of 5
Weakness for 2-3 months. Labs: Na 135, Cl 105, K 3.0, HCO3 18, CRE 1.8, BUN 22, glucose 110, PO4 1.2, PCO2 30, pH 7.31, hematocrit 25%; urinalysis shows +1 protein, 2+ glucose, normal sediment, UPC 4.2 and UAC .25, UNa 30, UK 20, UCl 80. Which ONE of the following is a CHARACTERISTIC of the renal abnormality present in this patient?
Correct Answer: B
Rationale: The presence of significant proteinuria and hypoalbuminemia suggests nephrotic syndrome. Immunoelectrophoresis showing monoclonal proteins indicates multiple myeloma, often associated with renal complications.
Question 3 of 5
Which bacteria is indicated by 'Staph aureus'?
Correct Answer: D
Rationale: Staph aureus is a common abbreviation for Staphylococcus aureus, a gram-positive bacterium known for causing various infections.
Question 4 of 5
Patients with structural evidence of heart failure who exhibit no signs or symptoms are classified into which New York Heart Association heart failure class?
Correct Answer: A
Rationale: Patients who have structural heart disease but no signs or symptoms of heart failure are placed in Class I of the NYHA Classes. Class II patients have current or previous symptoms of heart failure. Class III patients have current or previous symptoms of heart failure, such as dyspnea or fatigue. Class IV patients have advanced structural heart disease and marked symptoms at rest.
Question 5 of 5
You're providing diet discharge teaching to a patient with a history of heart failure. Which of the following statements made by the patient represents they understood the diet teaching?
Correct Answer: D
Rationale: Limiting frozen meals (D) aligns with reducing sodium intake (recommended 2-3 g/day), unlike A (too high), B, and C (high-sodium foods).