ATI RN
Cardiovascular System Multiple Choice Questions Questions
Question 1 of 5
A client with congestive heart disease returns to the clinic with muscle aching. The physician orders a potassium level, which shows hypokalemia. The drug regimen includes furosemide (Lasix) 80 mg b.i.d. In addition to treatment with a potassium supplement, the nurse administers which of the following prescribed drugs?
Correct Answer: C
Rationale: Spironolactone (C), a potassium-sparing diuretic, counters furosemide’s potassium loss. Bumetanide (A) and torsemide (B) are loop diuretics, clonidine (D) is an antihypertensive.
Question 2 of 5
What is the formula for ventricular diastole duration (t_vd) in the cardiac cycle, given t_total = t_as + t_ad + t_vs + t_vd, where t_total is the total cycle time, t_as is atrial systole, t_ad is atrial diastole, and t_vs is ventricular systole?
Correct Answer: C
Rationale: Given t_total = t_as + t_ad + t_vs + t_vd, solving for t_vd: subtract all other phases from t_total. t_vd = t_total - (t_as + t_ad + t_vs). Option C, t_total - (t_as + t_vs), is correct, assuming t_ad is included in the total but not explicitly subtracted here.
Question 3 of 5
A client is admitted with a diagnosis of Myocardial Infarction (MI). The nurse knows that pain related to an MI is due to?
Correct Answer: A
Rationale: MI pain results from insufficient oxygenation of cardiac muscle due to blocked coronary arteries, causing ischemia. Overload or imbalance may contribute to other conditions but not directly to MI pain.
Question 4 of 5
What is the primary consideration when preparing to administer thrombolytic therapy to a patient who is experiencing an acute myocardial infarction (MI)?
Correct Answer: D
Rationale: Thrombolytic therapy effectiveness in acute MI depends on time since symptom onset (ideally within 6-12 hours), as it dissolves clots to restore blood flow. History (A), aspirin sensitivity (B), and MI specifics (C) are secondary to this time-sensitive factor.
Question 5 of 5
A patient has been receiving a heparin sodium IV for the last three days. The patient’s most current platelet count is 65,000 x 10^3/uL; while the platelet count on admission was 350,000 x 10^3/uL. The cardiac-vascular nurse contacts the physician to:
Correct Answer: B
Rationale: A drop from 350,000 to 65,000 platelets suggests heparin-induced thrombocytopenia (HIT), an adverse reaction requiring immediate reporting and heparin cessation. A and C misinterpret the issue, and D is a subsequent step.