ATI RN
Cardiovascular Drugs NCLEX Practice Questions Quizlet Questions
Question 1 of 5
A 78-year-old man with dyspnea is brought to the emergency department for evaluation. Physical examination reveals jugular venous distension and bilateral rales in both lung fields. Chest X-ray reveals pulmonary congestion consistent with fluid overload. What is the best treatment for this patient?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Your patient is a 50-year-old man with well-controlled Type 2 diabetes and normal renal function (and no microalbuminuria). Which of the following drugs would be the most rational first choice for starting his anti-hypertensive therapy?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A client diagnosed with bipolar disorder: depressive episode intentionally overdoses on sertraline (Zoloft). Family members report that the client has experienced anorexia, insomnia, and recent job loss. Which nursing diagnosis should a nurse prioritize?
Correct Answer: A
Rationale: The correct answer is A: Risk for suicide R/T hopelessness. In this scenario, the client's intentional overdose, along with symptoms of depression, anorexia, insomnia, and recent job loss, indicate a high risk for suicide. The priority nursing diagnosis should address the immediate safety concern of suicide risk. Other choices are incorrect because anxiety is not the primary issue, imbalanced nutrition does not take precedence over suicidal risk, and dysfunctional grieving is not the most critical concern in this situation.
Question 4 of 5
Which of the following client symptoms would most likely decrease because of the therapeutic effect of this medication? (Select the one tha does not apply.)
Correct Answer: A
Rationale: The correct answer is A: Somatic delusions. Somatic delusions are false beliefs about one's body, which can be reduced by medication targeting delusions. Social isolation (B) and flat affect (D) are not directly related to somatic delusions and would not be affected by medication for delusions. Gustatory hallucinations (C) are related to taste perceptions, not somatic delusions. Therefore, A is the most likely symptom to decrease due to the therapeutic effect of the medication.
Question 5 of 5
A patient has not come out of her room for breakfast. The nurse finds the patient moving restlessly about her room in a disorganized manner. The patient is talking to herself, and her verbal responses to the nurse are nonsensical and suggest disorientation. The nurse notices that the patient’s skin is hot and dry, and her pupils are somewhat dilated. All these symptoms are significant departures from the patient’s recent presentation. The patient is likely experiencing ________ , and the nurse should ___________.
Correct Answer: A
Rationale: The correct answer is A: anticholinergic toxicity. The patient's symptoms (restlessness, disorganized movement, nonsensical speech, disorientation, hot and dry skin, dilated pupils) are indicative of anticholinergic toxicity. Anticholinergic medications can cause these symptoms by blocking the action of acetylcholine in the brain and body. The nurse should check vital signs and prepare to use a cooling blanket to lower the patient's body temperature, as anticholinergic toxicity can lead to hyperthermia. Choice B (relapse of psychosis) is incorrect because the symptoms are not typical of a simple relapse of psychosis. Choice C (neuroleptic malignant syndrome) is incorrect because the symptoms do not match the classic presentation of neuroleptic malignant syndrome, which includes fever, muscle rigidity, and altered mental status. Choice D (agranulocytosis) is incorrect because the symptoms are not consistent with agranulocytosis,