ATI LPN
Cardiovascular NCLEX Questions Questions
Question 1 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 2 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.
Question 3 of 5
A lung mass of a 50 pack-year smoker is biopsied. If ADH levels were grossly increased, what would most likely be the histologic appearance of this mass?
Correct Answer: B
Rationale: Small cell lung cancer, common in heavy smokers, produces ADH (SIADH) and shows sheets of small, round, hyperchromatic cells on histology.
Question 4 of 5
When is used to make artificial valves, the valves last long a long time, but blood clotting can result.
Correct Answer: B
Rationale: Metal or plastic artificial valves are durable but can cause blood clotting, unlike animal tissue which is less prone to clotting but less durable.
Question 5 of 5
What is the best action if a client with a history of heart failure prescribed spironolactone and lisinopril has a potassium level of 5.8 mEq/L?
Correct Answer: B
Rationale: Spironolactone and lisinopril both increase potassium levels, and a level of 5.8 mEq/L indicates hyperkalemia.