ATI LPN
Questions for Cardiovascular Assessment Questions
Question 1 of 5
A 73-year-old healthy woman who exercises regularly falls down the stairs and injures her right hip. There is no fracture but the radiograph reveals calcification of the small muscular arteries lateral to her uterus. What is the probable vascular lesion which accounts for this calcification?
Correct Answer: B
Rationale: Monckeberg medial calcific sclerosis involves calcification of the media of small to medium-sized arteries, often incidental and not associated with luminal narrowing, fitting this asymptomatic finding.
Question 2 of 5
In the emergency department, an older adult with hypertension is started on nitroprusside. After 1 hour of treatment, the MAP is 55 mm Hg. What nursing action is a priority?
Correct Answer: D
Rationale: Nitroprusside is a potent vasodilator medication. Lowering the blood pressure too rapidly may decrease cerebral, coronary, or renal perfusion.
Question 3 of 5
Which client is at the greatest risk of digoxin toxicity?
Correct Answer: B
Rationale: Furosemide can cause hypokalemia, which increases the risk of digoxin toxicity.
Question 4 of 5
What is the nurse's priority action if a patient receiving digoxin has a heart rate of 58 bpm?
Correct Answer: C
Rationale: Digoxin should be held if the heart rate is below 60 bpm. Reassessing ensures accuracy and safety before notifying the provider.
Question 5 of 5
What is the most important nursing consideration for a patient with renal failure prescribed spironolactone?
Correct Answer: A
Rationale: Spironolactone is a potassium-sparing diuretic, and patients with renal failure are at higher risk for hyperkalemia. Monitoring potassium levels is crucial.