ATI LPN
Cardiovascular Disease Quiz Questions Questions
Question 1 of 5
For a patient with COPD, angina, and hypertension prescribed Atenolol 100 mg PO, what adverse effect is the patient at risk for?
Correct Answer: C
Rationale: Atenolol is a cardioselective β1-adrenergic blocker that reduces blood pressure and could affect the β2-receptors in the lungs with larger doses or with drug accumulation.
Question 2 of 5
What should the nurse question if a patient with COPD is prescribed a beta-blocker for dysrhythmia?
Correct Answer: C
Rationale: Propranolol is non-selective and can worsen bronchoconstriction in COPD patients.
Question 3 of 5
What is the priority action when educating a client with heart failure about potassium-sparing diuretics?
Correct Answer: A
Rationale: Potassium-sparing diuretics can cause hyperkalemia, so potassium intake should not be increased. Blood pressure monitoring is important, and muscle weakness may indicate electrolyte imbalances.
Question 4 of 5
A 74 year old Caucasian female had a bone density study(DXA) which revealed T-score of the right femoral neck of -2.8, left femoral neck of -2.9. The spine had degenerative changes and could not be interpreted. FRAX calculation revealed fracture risk of 10% ten year risk of hip fracture and 30% ten year risk of major osteoporotic fracture. She had a traumatic wrist fracture a few years ago. Family history is positive for a mother with a hip fracture. Management of this patient would best include:
Correct Answer: D
Rationale: Treatment is recommended for patients with high FRAX scores and low T-scores. Repleting vitamin D and starting anti-resorptive or anabolic agents are effective treatments.
Question 5 of 5
A 34 y/o wom an presents with an 8 month history of bloating & abdominal pain relieved after BM. She tends toward constipation. She has a history of dysmenorrhea & a sister with dermatitis herpetiformis. She denies travel, ETOH use, or weight loss. Labs show mild Iron Deficiency Anemia and negative Tissue Transglutaminase Ab. What is the next best step in evaluation?
Correct Answer: C
Rationale: Symptoms suggest IBS or celiac disease. Negative TTG Ab doesn't fully rule out celiac (sensitivity ~90%), especially with a family history of dermatitis herpetiformis (celiac-related). Small bowel biopsies via EGD are the gold standard for diagnosis.