ATI RN
Cardiovascular Practice Questions Questions
Question 1 of 5
A patient who is recovering from an acute myocardial infarction (AMI) asks the nurse when sexual intercourse can be resumed. Which response by the nurse is best?
Correct Answer: B
Rationale: The correct answer is B. Sexual activity uses about as much energy as climbing two flights of stairs. This response is best because it provides the patient with a tangible comparison to understand the energy expenditure involved in sexual activity post-AMI. It reassures the patient that resuming sexual activity is feasible and not overly strenuous on the heart. Choice A is incorrect because it oversimplifies the potential complications that can arise during sexual intercourse post-AMI. Choice C is incorrect as it defers the responsibility to the doctor without providing immediate guidance to the patient. Choice D is incorrect as it does not address the patient's query about the timing of resuming sexual activity post-AMI.
Question 2 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 3 of 5
A client with a myocardial infarction and cardiogenic shock is placed on an intra- aortic ballon pump (IAPB). If the device is functioning properly, the balloon inflates when the:
Correct Answer: C
Rationale: Step 1: In cardiogenic shock, the heart is unable to pump effectively, leading to decreased blood flow. Step 2: The IABP helps improve coronary artery perfusion and cardiac output by inflating during diastole. Step 3: During diastole, the aortic valve is closed to prevent blood flow back into the left ventricle. Step 4: The inflated balloon in the aorta increases coronary perfusion and reduces afterload. Summary: Choice C is correct as the balloon inflates when the aortic valve is closed to improve coronary perfusion. Choices A, B, and D are incorrect as they do not align with the physiological mechanism of the IABP.
Question 4 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 5 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.