ATI LPN
Cardiovascular Disease Quiz Questions Questions
Question 1 of 5
A 58-year-old smoker presents with weight loss and cough. Physical exam reveals a mild lid lag on the left and a pinpoint pupil, scattered rhonchi throughout all lung fields that clear with coughing, and an increased anteroposterior diameter. Based on these findings, you suspect the patient has:
Correct Answer: A
Rationale: A Pancoast tumor (apical lung cancer) causes Horner syndrome (lid lag, miosis), cough, weight loss, and may coexist with obstructive lung disease signs in a smoker.
Question 2 of 5
What is the nurse's priority action if a client receiving milrinone develops a blood pressure of 88/60 mmHg?
Correct Answer: A
Rationale: Milrinone can cause hypotension; adjusting the infusion and notifying the provider is necessary.
Question 3 of 5
What should the nurse question if a patient with COPD is prescribed a beta-blocker for dysrhythmia?
Correct Answer: C
Rationale: Propranolol is non-selective and can worsen bronchoconstriction in COPD patients.
Question 4 of 5
What is the priority action when educating a client with heart failure about potassium-sparing diuretics?
Correct Answer: A
Rationale: Potassium-sparing diuretics can cause hyperkalemia, so potassium intake should not be increased. Blood pressure monitoring is important, and muscle weakness may indicate electrolyte imbalances.
Question 5 of 5
A 74 year old Caucasian female had a bone density study(DXA) which revealed T-score of the right femoral neck of -2.8, left femoral neck of -2.9. The spine had degenerative changes and could not be interpreted. FRAX calculation revealed fracture risk of 10% ten year risk of hip fracture and 30% ten year risk of major osteoporotic fracture. She had a traumatic wrist fracture a few years ago. Family history is positive for a mother with a hip fracture. Management of this patient would best include:
Correct Answer: D
Rationale: Treatment is recommended for patients with high FRAX scores and low T-scores. Repleting vitamin D and starting anti-resorptive or anabolic agents are effective treatments.