ATI LPN
Cardiovascular Assessment Nursing Questions Questions
Question 1 of 5
55 yo man with a reliable home BP device. He is treated with HCTZ, ACEI, CCB, and eplerenone. Home BPs for the last 6 months show values of 124±11/73±7 mmHg with >109 readings taken in AM/PM. His examination Nl. His in-office BP is 140/88 mmHg. Which ONE of the following statements BEST reflects his hypertension control?
Correct Answer: A
Rationale: Home blood pressure monitoring provides a more accurate reflection of overall cardiovascular risk compared to sporadic office readings and avoids white-coat effects.
Question 2 of 5
Increased preload of the cardiac chambers may lead to which patient symptom?
Correct Answer: C
Rationale: Preload reduces glomerular filtration resulting in fluid conservation, or edema. Increased preload may lead to an increased, not decreased, heart rate. Increased preload may lead to shortness of breath and an increased respiratory rate. Increased preload may lead to fatigue, not excitability, as the heart works harder to circulate blood.
Question 3 of 5
These drugs are used as first-line treatment of heart failure. They work by allowing more blood to flow to the heart which decreases the work load of the heart and allows the kidneys to secrete sodium. However, some patients can develop a nagging cough with these types of drugs. This description describes?
Correct Answer: D
Rationale: ACE inhibitors (D) reduce workload, promote sodium excretion, and commonly cause a cough due to bradykinin buildup.
Question 4 of 5
The charge nurse observes a new registered nurse(RN) doing discharge teaching for a patient with hypertension who has a new prescription for enalapril(Vasotec). Which statement by the new nurse to the patient would require the charge nurse's intervention?
Correct Answer: B
Rationale: The ACE inhibitors cause retention of potassium by the kidney, so hyperkalemia is a possible adverse effect. The other teaching by the new RN is appropriate for a patient with newly diagnosed hypertension who has just started therapy with enalapril.
Question 5 of 5
Propranolol(Inderal) is prescribed for a patient diagnosed with hypertension. The nurse should consult with the health care provider before giving this medication when the patient reveals a history of
Correct Answer: A
Rationale: Nonselective b-blockers block b1- and b2-adrenergic receptors and can cause bronchospasm, especially in patients with a history of asthma. b-Blockers will have no effect on the patient's peptic ulcer disease or alcohol use. b-Blocker therapy is recommended after MI.