ATI RN
ANCC Cardiovascular Certification Practice Questions Questions
Question 1 of 5
Cardiogenic shock refers to inadequate body perfusion as a result of
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
When teaching Joan about her low-sodium diet, the nurse should include information about
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
Which order should the nurse question?
Correct Answer: A
Rationale: The correct answer is A: The addition of a loop diuretic with digoxin. Loop diuretics can cause hypokalemia, which can increase the risk of digoxin toxicity due to potassium depletion. Therefore, the nurse should question this order to prevent potential harm to the patient. Incorrect choices: B: The addition of a beta blocker with digoxin - Beta blockers can also contribute to bradycardia and further increase the risk of digoxin toxicity. C: A digoxin dose of 0.125 mg per day - This dose is within the recommended range for digoxin and does not pose an immediate concern. D: The addition of an ACE inhibitor with digoxin - ACE inhibitors do not directly interact with digoxin, and their combination is commonly used in managing heart failure.
Question 4 of 5
The client is being given a cardio-selective beta blocker because of which possible reasons? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Dysrhythmias. Cardio-selective beta blockers are commonly prescribed to treat dysrhythmias by slowing down the heart rate and reducing the frequency of irregular heartbeats. This helps in controlling and managing abnormal heart rhythms effectively. Hypotension (A) is not a typical reason to prescribe cardio-selective beta blockers, as these medications can further lower blood pressure, exacerbating hypotension. Hypertension (B) is usually treated with non-selective beta blockers, as they have a broader effect on blood vessels. Cardiac arrest (D) is a life-threatening emergency that requires immediate intervention such as CPR and defibrillation, not beta blockers.
Question 5 of 5
The client is taking Flecainide for arrhythmias. What type of anti- arrhythmic medication is this:
Correct Answer: D
Rationale: The correct answer is D: Class IC. Flecainide belongs to Class IC anti-arrhythmic medications, which work by blocking sodium channels in the heart, slowing down the conduction of electrical impulses. This helps stabilize the heart's rhythm. Class IB medications (Choice A) work by blocking sodium channels as well, but they do not slow conduction as much as Class IC. Class II medications (Choice B) are beta blockers and do not directly affect sodium channels. Choice C is a duplicate of Choice A, which is incorrect.