ATI RN
Cardiovascular Practice Questions Questions
Question 1 of 5
A complication of peripheral vascular disease may be:
Correct Answer: A
Rationale: The correct answer is A: stasis ulcer. Peripheral vascular disease causes poor blood flow to extremities, leading to tissue damage and delayed wound healing. Stasis ulcers occur due to decreased circulation, typically on lower legs. Pressure ulcers (B) result from prolonged pressure on skin, not directly related to vascular disease. Gastric (C) and duodenal (D) ulcers are gastrointestinal issues, not associated with peripheral vascular disease.
Question 2 of 5
A child has been diagnosed with rheumatic fever. Which statement by the mother indicates an understanding of rheumatic fever?
Correct Answer: A
Rationale: The correct answer is A, "I should avoid giving my child aspirin for the arthritic pain." Rheumatic fever can cause joint pain, and giving aspirin to a child with rheumatic fever can worsen the condition by increasing the risk of Reye's syndrome. Aspirin should be avoided, and acetaminophen can be used for pain relief. Choice B is incorrect because penicillin is prescribed to prevent recurrent streptococcal infections, not until the child is 20 years old. Choice C is incorrect because gown, gloves, and mask are not necessary for rheumatic fever, as it is not a highly contagious disease. Choice D is incorrect because siblings don't need to be kept away from the child with rheumatic fever.
Question 3 of 5
The nurse is discharging a client to home with a new diagnosis of atrial fibrillation.. The nurse explains that which of the following is the most important symptoms to report to the physician?
Correct Answer: A
Rationale: Step 1: Atrial fibrillation is characterized by an irregular pulse, which can lead to serious complications like stroke. Step 2: Reporting irregular pulse promptly allows the physician to assess the need for interventions to prevent complications. Step 3: Fever (B), fatigue (C), and hemoptysis (D) are not typically associated with atrial fibrillation. Summary: Reporting irregular pulse is crucial for timely management of atrial fibrillation, while fever, fatigue, and hemoptysis are not relevant symptoms in this context.
Question 4 of 5
Which of the following suggestions should the nurse include when conducting health teaching for clients with arterial insufficiency?
Correct Answer: A
Rationale: The correct answer is A because avoiding long periods of sitting and standing helps improve blood circulation in clients with arterial insufficiency. Prolonged sitting or standing can worsen arterial insufficiency by restricting blood flow. Keeping the legs and feet in a raised position (choice B) can help reduce swelling but does not address the root issue of poor circulation. Decreasing ambulation (choice C) would further compromise circulation. Applying moist heat (choice D) can be detrimental as it can dilate blood vessels and exacerbate arterial insufficiency symptoms.
Question 5 of 5
A 75-year-old individual is admitted with a diagnosis of left-sided heart failure and is administered Lasix 80 mg by slow IV push. Which nursing assessment indicates that the Lasix (furosemide) is NOT having the desired effect?
Correct Answer: A
Rationale: The correct answer is A: Oliguria. Oliguria is the decreased urine output, which is an indicator of inadequate response to Lasix in heart failure. Lasix is a diuretic used to reduce fluid overload in heart failure by promoting diuresis. In this case, a decrease in urine output suggests that the medication is not effectively removing excess fluid. For the other choices: B: Decrease in blood pressure - This could be an expected effect of Lasix as it helps reduce fluid volume and can lead to a decrease in blood pressure. C: Absence of crackles - This indicates reduced pulmonary congestion, which is a desired effect of Lasix in heart failure. D: Polydipsia - Increased thirst (polydipsia) is not directly related to the effectiveness of Lasix in treating heart failure. In summary, the presence of oliguria indicates inadequate response to Lasix, while the decrease in blood pressure, absence of crackles, and polydips