ATI LPN
Cardiovascular MCQ Questions Questions
Question 1 of 5
A 55-year-old non-smoking coal worker has arthritis and nodular lesions in the lungs. His PPD skin test is negative. You suspect the patient has:
Correct Answer: B
Rationale: Caplan's syndrome (rheumatoid arthritis with pneumoconiosis) occurs in coal workers, presenting with arthritis and lung nodules, with a negative PPD ruling out TB.
Question 2 of 5
What is the priority nursing assessment for a client with atrial fibrillation started on verapamil?
Correct Answer: A
Rationale: Verapamil can cause hypotension and bradycardia, so these must be monitored closely.
Question 3 of 5
Which symptom indicates a serious adverse effect of spironolactone?
Correct Answer: A
Rationale: Hyperkalemia from spironolactone may cause muscle cramps, fatigue, or arrhythmias.
Question 4 of 5
What lab values would require the nurse to notify the provider if a client with heart failure is prescribed a combination of lisinopril and spironolactone?
Correct Answer: B
Rationale: Both lisinopril and spironolactone can cause hyperkalemia. A potassium level of 6.2 mEq/L is critical.
Question 5 of 5
A 44 y/o male presents with tachycardia and nervousness. Thyroid is tender to palpation. TSH< 0.07 and Free T4 is elevated. The patient is on no medication. Nuclear thyroid scan shows a poorly visualized thyroid. 24 hour uptake is low. No iodine contamination. Which of the following is the suspected diagnosis?
Correct Answer: A
Rationale: Low radioactive iodine uptake and elevated free T4 suggest thyroiditis rather than Graves' disease or toxic nodules.