ATI RN
Cardiovascular Test Bank Questions
Question 1 of 5
A client complains of crushing chest pain that radiates to his left arm. He should be presented with the following treatment:
Correct Answer: A
Rationale: The correct answer is A: Aspirin, oxygen, nitroglycerin, and morphine. This combination is recommended for a client with suspected acute coronary syndrome. Aspirin helps reduce blood clot formation, oxygen aids in oxygenation, nitroglycerin dilates blood vessels to improve blood flow, and morphine helps alleviate pain and reduce anxiety. Choice B is incorrect because codeine is not recommended due to potential respiratory depression. Choice C is incorrect because meperidine is not the preferred analgesic in this situation, and thrombolytics are not indicated unless there is confirmed ST-segment elevation myocardial infarction. Choice D is incorrect because nitroprusside is not typically used in this scenario.
Question 2 of 5
A child is scheduled for echocardiography. The nurse is providing teaching to the child's mother. Which statement by the mother about echocardiography indicates the need for further teaching?
Correct Answer: B
Rationale: The correct answer is B. Echocardiography does not typically require dye injection. This is known as a non-invasive imaging technique. Choice A is correct because an IV catheter is not usually needed for this procedure. Choice C is incorrect as fasting before the test is common practice to ensure accurate results. Choice D is correct as lying on the left side and breathing slowly helps with image quality. Therefore, choice B is the most appropriate answer as it reflects a misunderstanding of the procedure.
Question 3 of 5
The registered nurse has finished reviewing the 7:00 a.m shift report on a telemetry unit. Which of the following clients would be the best for the RN to assign to the licensed practical nurse?
Correct Answer: A
Rationale: The correct answer is A because the 7-day postoperative CABG client with an infection in the sternal surgical incision requires ongoing wound care, dressings, and irrigation, which are within the scope of practice for a licensed practical nurse. Choice B is incorrect because a client who has just arrived from the emergency room for observation to rule out a myocardial infarction may require immediate assessment and interventions beyond the scope of a licensed practical nurse. Choice C is incorrect because a client who has had successful valve replacement therapy and will be discharged this morning may require coordination of care, discharge teaching, and documentation, which are typically the responsibilities of a registered nurse. Choice D is incorrect because a client scheduled for a percutaneous transluminal coronary angioplasty at 10:00 a.m may require pre-procedure preparations, monitoring, and post-procedure care that are best handled by a registered nurse.
Question 4 of 5
In providing community education on prevention of peripheral arterial disease, the nurse is careful to include which of the following as a major risk factor?
Correct Answer: D
Rationale: The correct answer is D: Cigarette smoking. Smoking is a major risk factor for peripheral arterial disease (PAD) as it can lead to the narrowing of blood vessels, reducing blood flow to the extremities. This can result in the development of PAD. Smoking cessation is crucial in preventing and managing PAD. Rationale for other choices: A: Dysrhythmias - Dysrhythmias are irregular heartbeats and are not a major risk factor for PAD. B: Low-protein intake - While poor nutrition can impact overall health, low-protein intake is not a major risk factor specifically for PAD. C: Exposure to cool weather - Cool weather exposure can exacerbate symptoms in individuals with PAD, but it is not a major risk factor for developing the condition.
Question 5 of 5
A toddler requires supplemental oxygen therapy for a cyanotic heart defect. In planning for home care, the nurse would discuss which of the following with the parents?
Correct Answer: B
Rationale: The correct answer is B because promoting mobility while meeting the need for supplemental oxygen is crucial for the toddler's overall well-being. This helps prevent complications such as pneumonia and promotes physical development. Maintaining the child on bedrest (A) is not recommended as it can lead to muscle weakness and other health issues. Discussing symptoms of oxygen toxicity (C) is important but not the priority in this scenario. Drawing blood for blood gases (D) should be performed by healthcare professionals, not parents.