ATI LPN
Cardiovascular System Questions Questions
Question 1 of 5
After sitting in a chair for an hour, an elderly patient develops moderate lower extremity edema. His edema is most likely a consequence of
Correct Answer: C
Rationale: The backward effects of right-sided heart failure are due to congestion in the systemic venous system and lead to lower extremity edema. Arterial obstruction is not associated with dependent edema of the lower extremities. Left-sided heart failure is associated with pulmonary symptoms. Edema may be associated with peripheral vascular disease, but dependent edema over a 1-hour period is related to right-sided heart failure.
Question 2 of 5
Propranolol(Inderal) is prescribed for a patient diagnosed with hypertension. The nurse should consult with the health care provider before giving this drug when the patient reveals a history of:
Correct Answer: A
Rationale: Nonselective β-blockers block β1- and β2-adrenergic receptors and can cause bronchospasm, especially in patients with a history of asthma. β-Blockers will have no effect on the patient's peptic ulcer disease or alcohol use. β-Blocker therapy is recommended after MI.
Question 3 of 5
Cardiac muscle tissue is characterized by all of these EXCEPT:
Correct Answer: B
Rationale: Cardiac muscle cells are short, branched, and typically uninucleated, not long, multinucleated, or cylindrical like skeletal muscle.
Question 4 of 5
The registered nurse(RN) is caring for a patient with a hypertensive crisis who is receiving sodium nitroprusside(Nipride). Which nursing action can the nurse delegate to an experienced licensed practical/vocational nurse(LPN/LVN)?
Correct Answer: C
Rationale: LPN/LVN education and scope of practice include the correct use of common equipment such as automatic blood pressure machines. The other actions require advanced nursing judgment and education, and should be done by RNs.
Question 5 of 5
The nurse is developing a nursing care plan for a patient who is being treated for hypertension. What is a measurable patient outcome that the nurse should include?
Correct Answer: A
Rationale: Dietary sodium intake of no more than 2.4g sodium is recommended as a dietary lifestyle modification to prevent and manage hypertension. Giving a specific amount of allowable sodium intake makes this a measurable goal. None of the other listed goals is quantifiable and measurable.