ATI LPN
Cardiovascular Disease Questions Questions
Question 1 of 5
A newborn child develops dyspnea, tachypnea, intercostal muscle retractions, and cyanosis 4 hours after birth. The mother developed gestational diabetes mellitus and was in poor glycemic control throughout the pregnancy. A chest x-ray reveals a "ground glass" appearance in both lungs. The primary mechanism for this patient's respiratory problem is...
Correct Answer: D
Rationale: Respiratory distress syndrome (RDS) in newborns, linked to maternal diabetes, results from surfactant deficiency, causing a ground-glass X-ray pattern and respiratory distress.
Question 2 of 5
What is the nurse's priority action for a client with a history of COPD and atrial fibrillation prescribed propranolol?
Correct Answer: C
Rationale: Propranolol can exacerbate bronchoconstriction in clients with COPD, so respiratory function must be assessed.
Question 3 of 5
What finding indicates a therapeutic response to milrinone in a patient with heart failure?
Correct Answer: B
Rationale: Milrinone improves cardiac contractility and reduces pulmonary congestion, leading to better oxygenation and reduced symptoms.
Question 4 of 5
What potential complication should the nurse monitor for in a client receiving digoxin who is also taking furosemide?
Correct Answer: B
Rationale: Furosemide can cause hypokalemia, which increases the risk of digoxin toxicity.
Question 5 of 5
A 65 year old male presents with recurrent calcium kidney stones. He is found to have a calcium level of 11.8 mg/dl. PTH level is mildly elevated. Serum creatinine is 1.4 mg/dl. 24 hour urine calcium excretion is elevated. Parathyroid Sestamibi scan is performed but does not reveal any abnormality. The most likely cause of the primary hyperparathyroidism is:
Correct Answer: D
Rationale: The correct answer is D based on the typical presentation of primary hyperparathyroidism. Solitary adenoma accounts for 80-85% of cases, though multiple adenomas can also occur.