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 because it provides accurate information about the energy expenditure during sexual activity, which can be a concern for patients recovering from an AMI. Climbing two flights of stairs is a useful reference point for patients to gauge their readiness for physical exertion. Choice A is incorrect as it oversimplifies the potential risks and complications associated with resuming sexual activity post-AMI. Choice C is incorrect as it suggests that the doctor will provide specific guidelines without addressing the patient's concerns in the moment. Choice D is incorrect as it focuses solely on emotional intimacy rather than addressing the patient's question about physical activity.
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 circulation in the extremities, leading to tissue damage and ulcers, particularly in the lower legs and feet. Stasis ulcers are a common complication due to decreased blood flow. Pressure ulcers (B) are caused by prolonged pressure on the skin, not related to vascular disease. Gastric ulcer (C) and duodenal ulcer (D) are typically associated with gastrointestinal issues, such as Helicobacter pylori infection or nonsteroidal anti-inflammatory drug use, and are not directly related to 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: The correct answer is C: Aortic valve is closed. When the IABP is functioning properly, the balloon inflates during diastole when the aortic valve is closed. This inflation helps to increase coronary perfusion and decrease afterload, improving myocardial oxygen supply and reducing workload. Choices A, B, and D are incorrect because the inflation of the balloon is not directly related to the status of the tricuspid, pulmonic, or mitral valves. The key factor in timing the inflation of the balloon is the closure of the aortic valve during diastole.
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." Aspirin should be avoided in rheumatic fever due to the risk of Reye's syndrome. Aspirin can worsen the condition, leading to serious complications. The other choices are incorrect because: B: Penicillin is given to prevent recurrent streptococcal infections, not until the age of 20. C: Gown, gloves, and mask are not necessary for rheumatic fever, as it is not highly contagious. D: Keeping the child away from his sister is not necessary, as rheumatic fever is not spread through casual contact.
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: The correct answer is A: Irregular pulse. Atrial fibrillation is characterized by an irregular heartbeat, which can lead to serious complications like blood clots and stroke. Reporting an irregular pulse to the physician is crucial for prompt evaluation and management. Fever (B) is not typically associated with atrial fibrillation. Fatigue (C) is a common symptom but not as urgent as an irregular pulse. Hemoptysis (D) is coughing up blood and is not directly related to atrial fibrillation.