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. 1. Aspirin helps to inhibit platelet aggregation. 2. Oxygen aids in improving oxygenation. 3. Nitroglycerin dilates coronary arteries, reducing cardiac workload. 4. Morphine helps in relieving pain and reducing anxiety. Summary: - Choice B: Codeine is not indicated for acute coronary syndrome. - Choice C: Meperidine is not recommended due to its adverse effects. - Choice D: Nitroprusside is not typically used in the initial treatment of acute coronary syndrome.
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 because echocardiography does not usually require dye injection. Step 1: Echocardiography uses ultrasound waves to create images of the heart; dye is not typically needed. Step 2: Choice A is correct because IV catheter insertion is not part of echocardiography. Step 3: Choice C is incorrect as fasting is usually required before echocardiography to ensure clear images. Step 4: Choice D is correct as positioning and breathing instructions are commonly provided during echocardiography. In summary, the need for dye injection in echocardiography is uncommon, making choice B the correct answer.
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 with dressings and irrigation. This assignment is suitable for an LPN due to their skill level in wound care. Choice B is incorrect because a client being observed for a myocardial infarction requires close monitoring by an RN. Choice C is incorrect because a client being discharged soon requires coordination and paperwork, which is typically done by an RN. Choice D is incorrect because a client scheduled for a PTCA procedure requires pre-procedure assessments and care typically done by an RN. Thus, choice A is the best option for an LPN assignment.
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 as it narrows and damages blood vessels, leading to reduced blood flow. This can result in serious complications such as leg pain, poor wound healing, and even amputation. Dysrhythmias (A) are heart rhythm abnormalities and not directly linked to peripheral arterial disease. Low-protein intake (B) is not a known risk factor for peripheral arterial disease. Exposure to cool weather (C) may exacerbate symptoms in individuals with peripheral arterial disease, 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 development and overall well-being. Bedrest (A) is not recommended for a toddler unless medically necessary. Discussing symptoms of oxygen toxicity (C) is important but not the priority in this case. Drawing blood for blood gases (D) is a medical procedure that should be performed by healthcare professionals, not parents. Prioritizing mobility and oxygen therapy helps maintain the child's physical health and supports their growth and development.