ATI LPN
Cardiovascular NCLEX Questions Questions
Question 1 of 5
A 60-year-old man has experienced angina on exertion for the past 6 years. A coronary angiogram performed 2 years ago showed 75% stenosis of the left anterior descending coronary artery and 50% stenosis of the right coronary artery. For the past 3 weeks, the frequency and severity of the anginal attacks have increased, and pain sometimes occurs even when he is lying in bed. Which of the following is most likely to explain these findings?
Correct Answer: C
Rationale: Fissuring of a plaque with mural thrombosis causes unstable angina by partially obstructing flow.
Question 2 of 5
A 45-year-old man was just started anti-hypertensive therapy and then developed a persistent dry cough. Which of the following drugs could cause this side effect?
Correct Answer: A
Rationale: Enalapril, an ACE inhibitor, commonly causes a dry cough.
Question 3 of 5
A 64-year-old man is brought to the ER complaining of crushing chest pain radiating to his left arm. He is admitted, stabilized, and treated for acute myocardial infarction. Later, he developed ventricular tachycardia and is treated with antiarrhythmic drug. After a week of antiarrhythmic treatment, he began having difficulty breathing. A chest X-ray reveals pulmonary fibrosis. Which antiarrhythmic drug was he taking?
Correct Answer: A
Rationale: Amiodarone can cause pulmonary fibrosis as a side effect.
Question 4 of 5
An increase in heart rate by the sympathetic nervous system is a____
Correct Answer: C
Rationale: A positive chronotropic effect increases heart rate due to enhanced activity of the sympathetic nervous system.
Question 5 of 5
A 70 year old man with diminished pulses and a history of angina and syncope with exercise has an ejection type murmur radiating into the carotid arteries. Likely cause is:
Correct Answer: B
Rationale: Aortic stenosis causes an ejection murmur radiating to the carotids, with symptoms like angina, syncope, and diminished pulses due to outflow obstruction.