ATI LPN
Cardiovascular NCLEX Questions Questions
Question 1 of 5
Patient presents from having sudden cardiac death with presumed ischemia mediated VT with high grade CAD. Which is best treatment to improve survival?
Correct Answer: A
Rationale: CABG is a class I B indication in this scenario as it addresses the underlying high-grade CAD causing ischemia-mediated ventricular tachycardia, improving survival post-sudden cardiac death.
Question 2 of 5
Which of the following measures improve the utility of serum prostate-specific antigen(PSA) in screening for prostate cancer?
Correct Answer: D
Rationale: All listed methods enhance the specificity and sensitivity of PSA testing in detecting prostate cancer.
Question 3 of 5
Which of the following organisms is an unlikely cause of endocarditis?
Correct Answer: B
Rationale: E. coli is an unlikely cause of endocarditis compared to the others listed, which are well-known causes.
Question 4 of 5
You are seeing a type 2 diabetic with stage 3 CKD, creatinine clearance of 34 ml/min/M2, potassium of 5.7 mg/dl, and bicarbonate of 19 mg/dl. This is consistent with which of the following?
Correct Answer: D
Rationale: Type 4 RTA is characterized by hyperkalemia and metabolic acidosis, common in CKD due to impaired aldosterone function or response.
Question 5 of 5
A 34-y old lifelong nonsmoking male presents for evaluation of dyspnea, fatigue, and nonproductive cough which is worse in the evening. His symptoms have been ongoing for the last 6 months. He is an auto mechanic working in an autobody shop for the last 4 years. He believes his symptoms are work related. Medical history is otherwise negative and he is on no medications. Physical exam and vital signs are normal. CXR and spirometry are normal. What is the most appropriate next step?
Correct Answer: B
Rationale: Symptoms worsening in the evening suggest occupational asthma related to autobody shop exposures (e.g., isocyanates). Repeat spirometry post-exposure can confirm reversible airway obstruction, a key diagnostic step per occupational lung disease guidelines.