ATI LPN
Cardiovascular NCLEX Questions with Rationale Questions
Question 1 of 4
A patient with a history of hypertension treated with a diuretic and an angiotensin-converting enzyme(ACE) inhibitor arrives in the emergency department complaining of a severe headache and nausea and has a blood pressure(BP) of 238/118 mm Hg. Which question should the nurse ask first?
Correct Answer: B
Rationale: Sudden withdrawal of antihypertensive medications can cause rebound hypertension and hypertensive crisis. Although many over-the-counter medications can cause hypertension, antihistamines and acetaminophen do not increase BP. Stressful events will increase BP but not usually to the level seen in this patient.
Question 2 of 4
A patient's recently elevated BP has prompted the primary care provider to prescribe furosemide (Lasix). The nurse should closely monitor which of the following?
Correct Answer: D
Rationale: Loop diuretics can cause potassium depletion. They do not normally affect level of consciousness, erythrocytes, or oxygen saturation.
Question 3 of 4
Regarding arrhythmias, which is TRUE?
Correct Answer: C
Rationale: In atrial fibrillation, the atria beat rapidly and irregularly, leading to variable ventricular response rates.
Question 4 of 4
Regarding treatment of hypertension of a 53 years-old woman already prescribed ramipril 10 mg daily but has a blood pressure of 150/95 mmHg, which ONE of the following prescriptions is TRUE
Correct Answer: D
Rationale: Ramipril 10 mg is the maximum dose. If BP remains uncontrolled, adding a calcium channel blocker like amlodipine is recommended as per guidelines (e.g., NICE), making D the correct choice.