ATI RN
ATI Cardiovascular Test Bank Questions
Question 1 of 5
A patient is admitted in acute distress with unrelieved back pain that radiates to his groin. This patient has a history of abdominal aortic aneurysm (AAA). What additional signs and symptoms might the patient state?
Correct Answer: B
Rationale: The correct answer is B: Bruit to left of the midline in the abdominal area. This is indicative of a possible AAA complication, such as a rupture or impending rupture. A bruit in the abdominal area can signify turbulent blood flow due to the AAA. The other choices are incorrect as they do not directly relate to the symptoms of AAA. Choice A is more indicative of cardiac issues, choice C suggests a possible neurological problem, and choice D is more related to cervical spine issues. Hence, choice B is the most relevant additional sign and symptom in this scenario.
Question 2 of 5
The client is given a calcium channel blocker. Calcium channel blockers have what effect on the heart?
Correct Answer: B
Rationale: The correct answer is B because calcium channel blockers decrease the velocity of electrical activity on the AV node, leading to a decreased heart rate and reduced conduction through the AV node. This results in a negative chronotropic effect, slowing down the heart rate. The other choices are incorrect because: A: Calcium channel blockers do not increase preload on the heart. They may actually reduce preload by dilating blood vessels. C: Calcium channel blockers do not block sodium channels in the heart muscle; they specifically target calcium channels. D: Calcium channel blockers do not cause vasoconstriction of coronary arteries; they often have vasodilatory effects on coronary arteries.
Question 3 of 5
The client is given an alpha agonist. What might it be used for?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The nurse is reviewing the client’s medication list. Calcium channel blockers have a significant drug-drug interaction with what?
Correct Answer: A
Rationale: The correct answer is A: Digoxin. Calcium channel blockers can increase digoxin levels, leading to toxicity. Digoxin and calcium channel blockers both affect heart function, so combining them can cause arrhythmias. The other choices do not have a significant interaction with calcium channel blockers. Theophylline interacts with beta-blockers, hydrochlorothiazide interacts with lithium, and fentanyl interacts with other CNS depressants.
Question 5 of 5
The client has stable angina. What class of drug is used to treat angina? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Organic nitrates. Organic nitrates are vasodilators that help relax and widen blood vessels, reducing the workload on the heart and improving blood flow to the heart muscle, thus relieving angina symptoms. Digoxin (A) is used for heart failure and arrhythmias, not angina. Adenosine (C) is used for supraventricular tachycardia, not angina. Beta blockers (D) are also used to treat angina by reducing heart rate and blood pressure, but organic nitrates are the first-line treatment for stable angina.