ATI LPN
Cardiovascular Disease NCLEX Questions Questions
Question 1 of 5
A 20 years old athlete complaint of gradually increasing shortness of breath. His X-ray revealed large globular heart and echocardiogram revealed markedly decreased ejection fraction of 30% and dilatation of all four chambers of heart. His coronary angiogram did not revealed any obstruction. He is most likely suffering from:
Correct Answer: A
Rationale: Dilated cardiomyopathy causes four-chamber dilatation, reduced ejection fraction, and shortness of breath, with normal coronaries ruling out ischemic etiology.
Question 2 of 5
Which information would the nurse consider when planning care for older adult patients with hypertension?(Select all that apply.)
Correct Answer: B
Rationale: Systolic blood pressure increases with age and patients older than age 60 years should be maintained below 150/90 mm Hg. Older adults are more likely to have elevated blood pressure when taken by health care providers (white coat syndrome).
Question 3 of 5
What interventions should the nurse prioritize for a client with heart failure prescribed milrinone?
Correct Answer: A
Rationale: Milrinone can cause hypokalemia and hypotension, which must be monitored closely.
Question 4 of 5
What is the nurse's next action if a patient on digoxin reports blurred vision and yellow halos?
Correct Answer: B
Rationale: Visual disturbances, including yellow halos, are classic signs of digoxin toxicity and require immediate evaluation.
Question 5 of 5
What condition in the client's history would require the nurse to question a prescription for propranolol for a dysrhythmia?
Correct Answer: B
Rationale: Propranolol is a non-selective beta-blocker and can exacerbate bronchoconstriction in clients with COPD.