ATI RN
Med-Surg Cardiovascular Practice Questions Questions
Question 1 of 5
A patient diagnosed with CHF will need positive inotropic medication to improve the contractility of the cardiac muscle. Which of the following medications taken by this patient has a positive inotropic effect?
Correct Answer: A
Rationale: Digoxin increases the force of contraction of the heart, improving cardiac output in CHF.
Question 2 of 5
Before taking hemodynamic measurements, the monitoring equipment must be referenced by
Correct Answer: B
Rationale: Referencing hemodynamic monitoring equipment means positioning the monitoring equipment so that the zero reference point is at the vertical level of the left atrium of the heart.
Question 3 of 5
The earliest evidence of a complication of heparin infusion is
Correct Answer: B
Rationale: Hematuria (blood in urine) is an early sign of heparin-induced bleeding.
Question 4 of 5
When caring for a patient following a cardiac catheterization with coronary angiography, which of the following findings would be of most concern to the nurse?
Correct Answer: C
Rationale: An absence of pulses distal to the insertion site indicates that clotting around the site is occluding blood flow to the extremity and is an emergency that requires immediate medical attention.
Question 5 of 5
What procedure is used cautiously or not at all in elderly clients who have aortic stenosis because stretching may fracture the aortic valve if it is calcified, as is often the case in older clients?
Correct Answer: A
Rationale: Balloon valvuloplasty poses a risk of fracturing calcified aortic valves in elderly clients.