ATI LPN
Cardiovascular Exam Questions Quizlet Questions
Question 1 of 5
For a patient with chronic hypertension evaluated in the emergency department for a blood pressure of 200/140 mm Hg, which assessment question is the priority?
Correct Answer: C
Rationale: The nurse's priority assessments include neurologic deficits, retinal damage, heart failure, pulmonary edema, and renal failure.
Question 2 of 5
What is the nurse's priority action before administering bumetanide?
Correct Answer: D
Rationale: Bumetanide, a loop diuretic, can cause hypotension, so blood pressure must be assessed before administration.
Question 3 of 5
What is the nurse's priority action if after initiating dobutamine infusion, a client with severe heart failure has a heart rate of 120 bpm, blood pressure of 150/90 mmHg, and complaints of chest pain?
Correct Answer: D
Rationale: Tachycardia and chest pain indicate that the client may be experiencing an adverse reaction to dobutamine, requiring the infusion to be stopped.
Question 4 of 5
A 50 y/o female presents with 10 pound weight gain in one year. BMI= 32. Thyroid is small without nodule. Heart is regular at 50 bpm and lungs are clear. Pseudomyotonia of the deep tendon reflexes is demonstrated on physical examination. Which of the following is mostly likely decreased?
Correct Answer: B
Rationale: Pseudomyotonia is associated with hypothyroidism, where sodium levels are often decreased.
Question 5 of 5
52 y/o recently traveled to Puerto Rico for 3 months. He developed fatigue, malaise, and abdominal cramps I week after returning followed by diarrhea and dyspepsia. Stools are 'oatmeal-like'. Labs: Hgb: I I. 3 (MCVI03). Stool studies are negative for Enteric Pathogens. Enteroscopy is performed. What is the most likely diagnosis?
Correct Answer: C
Rationale: Tropical sprue is a malabsorptive condition linked to prolonged travel in tropical regions like Puerto Rico, presenting with diarrhea, fatigue, and macrocytic anemia (MCV 103). Negative stool studies rule out Giardia, and celiac requires biopsy confirmation.