ATI LPN
Cardiovascular Disease Questions and Answers Questions
Question 1 of 5
Hypertrophy of the right ventricle is a compensatory response to
Correct Answer: D
Rationale: Right ventricular hypertrophy is the direct result of pulmonary disorders that increase pulmonary vascular resistance and impose a high afterload on the right ventricle. Aortic stenosis does not lead to right ventricular hypertrophy. Aortic regurgitation is not associated with right ventricular hypertrophy. Hypertrophy of the right ventricle is not a compensatory response to tricuspid stenosis.
Question 2 of 5
Which of the following is a correct statement about the pharmacodynamics of Beta-blockers for the treatment of heart failure?
Correct Answer: B
Rationale: Beta-blockers cause bradycardia (B) by reducing heart rate and contractility (negative inotropic effect), contrary to A. They're used with ACE/ARBs (D) but avoided in COPD (C).
Question 3 of 5
The nurse is caring for a 70-yr-old patient who takes hydrochlorothiazide and enalapril(Norvasc). The patient's blood pressure(BP) continues to be high. Which patient information may indicate a need for a change?
Correct Answer: B
Rationale: Because use of nonsteroidal anti-inflammatory drugs(NSAIDs) can prevent adequate BP control, the patient may need to avoid the use of ibuprofen. A multivitamin tablet will help supply vitamin D, which may help lower BP. BP decreases while sleeping, so self-monitoring early in the morning will result in obtaining pressures that are at their lowest. The patient's alcohol intake is not excessive.
Question 4 of 5
The nurse has just finished teaching a hypertensive patient about the newly prescribed ramipril(Altace). Which patient statement indicates that more teaching is needed?
Correct Answer: A
Rationale: Angioedema occurring with angiotensin-converting enzyme(ACE) inhibitor therapy is an indication that the ACE inhibitor should be discontinued. The patient should be taught that if any swelling of the face or oral mucosa occurs, the health care provider should be immediately notified because this could be life threatening. The other patient statements indicate that the patient has an accurate understanding of ACE inhibitor therapy.
Question 5 of 5
A patient newly diagnosed with hypertension asks the nurse what happens when uncontrolled hypertension is prolonged. The nurse explains that a patient with prolonged, uncontrolled hypertension is at risk for developing what health problem?
Correct Answer: A
Rationale: When uncontrolled hypertension is prolonged, it can result in renal failure, myocardial infarction, stroke, impaired vision, left ventricular hypertrophy, and cardiac failure. Glaucoma and anemia are not directly associated with hypertension.