ATI LPN
Cardiovascular Disease NCLEX Questions Questions
Question 1 of 5
An afebrile 23-year-old man develops a sudden onset of left-sided, stabbing chest pain with dyspnea. Physical exam of the left chest reveals hyperresonance to percussion, deviation of the trachea to the left, elevation of the diaphragm, decreased tactile fremitus, and decreased breath sounds. The MOST LIKELY diagnosis is...
Correct Answer: C
Rationale: Spontaneous pneumothorax causes sudden chest pain, dyspnea, hyperresonance, and decreased breath sounds, with tracheal deviation toward the affected side in non-tension cases.
Question 2 of 5
What interventions should the nurse prioritize for a client with heart failure prescribed milrinone?
Correct Answer: A
Rationale: Milrinone can cause hypokalemia and hypotension, which must be monitored closely.
Question 3 of 5
What is the nurse's next action if a patient on digoxin reports blurred vision and yellow halos?
Correct Answer: B
Rationale: Visual disturbances, including yellow halos, are classic signs of digoxin toxicity and require immediate evaluation.
Question 4 of 5
What condition in the client's history would require the nurse to question a prescription for propranolol for a dysrhythmia?
Correct Answer: B
Rationale: Propranolol is a non-selective beta-blocker and can exacerbate bronchoconstriction in clients with COPD.
Question 5 of 5
A 58 yo female with history of type II diabetes, smoker, remote history of NSTEMI and stenting of circumflex artery, presents to the ER with 24 hrs of intermittent chest pain. The initial EKG demonstrates ST depression in the inferior leads. Her symptoms resolve readily with conservative medical therapy and she is hemodynamically stable. A repeat EKG demonstrates resolution of ST changes and the patient feels well. Serial cardiac enzymes are mildly increased (troponinI= 0.03, 0.60, 0.90). The best approach to this patient is?
Correct Answer: B
Rationale: The correct answer is an invasive approach because the patient has a known history of coronary artery disease and presented with chest pain and elevated troponins, indicating unstable angina or non-ST elevation MI. Cardiac catheterization helps determine the need for revascularization.