ATI RN
Cardiovascular System Practice Questions Questions
Question 1 of 5
In preparing the patient for insertion of a pulmonary artery catheter, the nurse
Correct Answer: C
Rationale: The correct answer is C because continuous ECG monitoring is crucial during pulmonary artery catheter insertion to detect any arrhythmias or changes in cardiac status promptly. This ensures the patient's safety and allows for immediate intervention if needed. Obtaining informed consent (choice A) is important but not specific to this procedure. Placing the patient in a high Fowler's position (choice B) may be necessary for comfort but is not directly related to the insertion process. Performing an Allen test (choice D) is not typically required for pulmonary artery catheter insertion.
Question 2 of 5
As the manager of a cardiac surgery unit, you are responsible for developing a standardized care plan for the post-operative care of patients having cardiac surgery. Which of these nursing activities included in the care plan will need to be done by an RN?
Correct Answer: C
Rationale: The correct answer is C because developing an individual plan for discharge teaching based on discharge medications and needed lifestyle changes requires critical thinking, assessment, and evaluation skills, which are within the scope of practice of a registered nurse (RN). RNs are trained to assess patients' needs, plan and implement care, and evaluate outcomes. Removing dressings (choice A) and administering medications (choice D) are tasks that can be delegated to other healthcare team members such as licensed practical nurses or nursing assistants. Reinforcing patient and family teaching (choice B) can also be done by other healthcare team members under the supervision of an RN.
Question 3 of 5
Which of the following blood vessels is commonly affected by thrombophlebitis?
Correct Answer: B
Rationale: The correct answer is B because veins deep in the lower extremities are commonly affected by thrombophlebitis due to factors like immobility, obesity, and venous stasis. Thrombophlebitis refers to inflammation of a vein with the formation of a blood clot. The lower extremities are more prone to this condition as blood flow is slower in the veins of the legs compared to the upper extremities. Popliteal vein of the leg (choice C) is a specific vein in the lower extremities commonly affected. Veins deep in the upper extremities (choice A) are less commonly affected. Veins connected to the heart (choice D) are arteries, not veins, and are not typically affected by thrombophlebitis.
Question 4 of 5
Which of the following determine the possibility of the client having coronary artery disease?
Correct Answer: C
Rationale: The correct answer is C: Chest Pain. Chest pain is a common symptom of coronary artery disease (CAD) due to inadequate blood supply to the heart. It is a key indicator for CAD diagnosis. Tachycardia (A) may be a symptom of CAD but not definitive. Hair loss (B) and numbness/tingling (D) are not typically associated with CAD. In summary, chest pain is a cardinal symptom of CAD, making it the most relevant choice among the options provided.
Question 5 of 5
A nurse is teaching a client with a history of dysrhythmias about changes in diet. Which of the following does the nurse suggest to the client to prevent catecholamine release, which may cause dangerous dysrhythmias?
Correct Answer: B
Rationale: The correct answer is B: Drink no more than 6 oz. of beer or wine per day. Catecholamines are released in response to stress or stimulation. Alcohol consumption can lead to catecholamine release, potentially causing dysrhythmias. Limiting alcohol intake can help prevent this. A: Eating a low salt, high fiber diet may be beneficial for overall heart health, but it does not directly address catecholamine release. C: Drinking a lot of water is important for hydration, but it does not specifically prevent catecholamine release. D: Eating a variety of foods according to the food pyramid is generally good for overall health but does not directly address catecholamine release.