ATI LPN
Cardiovascular Exam Questions Quizlet Questions
Question 1 of 5
A 65-year-old man on the 5th day of hospitalization for an acute anterior myocardial infarction has recurrence of chest pain and an increase in both CK-MB and troponin-I. The patient MOST LIKELY has:
Correct Answer: D
Rationale: Reinfarction is indicated by recurrent chest pain and elevated cardiac biomarkers (CK-MB, troponin-I) post-MI, suggesting new myocardial necrosis.
Question 2 of 5
For a patient with chronic hypertension evaluated in the emergency department for a blood pressure of 200/140 mm Hg, which assessment question is the priority?
Correct Answer: C
Rationale: The nurse's priority assessments include neurologic deficits, retinal damage, heart failure, pulmonary edema, and renal failure.
Question 3 of 5
Which finding suggests the client may be experiencing digoxin toxicity?
Correct Answer: C
Rationale: Blurred or yellow vision is a classic sign of digoxin toxicity.
Question 4 of 5
What is the nurse's priority action before administering bumetanide?
Correct Answer: D
Rationale: Bumetanide, a loop diuretic, can cause hypotension, so blood pressure must be assessed before administration.
Question 5 of 5
What is the nurse's priority action if after initiating dobutamine infusion, a client with severe heart failure has a heart rate of 120 bpm, blood pressure of 150/90 mmHg, and complaints of chest pain?
Correct Answer: D
Rationale: Tachycardia and chest pain indicate that the client may be experiencing an adverse reaction to dobutamine, requiring the infusion to be stopped.