ATI RN
ANCC Cardiovascular Certification Practice Questions Questions
Question 1 of 5
T 1 O2 sat 99 percent. Which number represents the client’s systolic blood pressure?
Correct Answer: B
Rationale: The correct answer is B (120) as a normal systolic blood pressure range is around 90-120 mmHg. A reading of 99% oxygen saturation indicates good oxygen levels, not blood pressure. Choices A (16) and C (60) are too low for a typical systolic blood pressure. Choice D (99) is close but is the O2 saturation, not blood pressure.
Question 2 of 5
The client is preparing to have a cardiac stress test. What does the nurse tell the client to do in order to have the test?
Correct Answer: C
Rationale: The correct answer is C: The client will run on a treadmill. This is because a cardiac stress test typically involves the client walking or running on a treadmill to increase their heart rate while being monitored for any abnormalities in the heart's function. This helps healthcare providers assess the heart's response to exercise and detect any potential cardiac issues. Choices A, B, and D are incorrect because lying still throughout the test, having an EKG after the test, and the test hurting for only a moment do not accurately describe the process of a cardiac stress test.
Question 3 of 5
The nurse suspects that the patient with stable angina is experiencing a side effect of the prescribed drug metoprolol (Lopressor) if the
Correct Answer: B
Rationale: The correct answer is B because a blood pressure of 90/54 mm Hg indicates hypotension, a common side effect of metoprolol. Metoprolol is a beta-blocker that can cause decreased heart rate and blood pressure. This can lead to symptoms like dizziness, weakness, and fainting. Options A, C, and D are incorrect because restlessness, agitation, feeling anxious, and normal sinus rhythm are not typical side effects of metoprolol.
Question 4 of 5
A few days after experiencing a myocardial infarction (MI) and successful percutaneous coronary intervention, the patient states, “It was just a little chest pain. As soon as I get out of here, I’m going for my vacation as planned.” Which reply would be most appropriate for the nurse to make?
Correct Answer: C
Rationale: The correct answer, C, is appropriate because it addresses the patient's unrealistic expectations after a heart attack. It acknowledges the seriousness of the situation and gently suggests that plans may need to be adjusted for health reasons. Choice A doesn't directly address the patient's future plans. Choice B focuses on vacation plans rather than the patient's health. Choice D is incorrect as it doesn't address the patient's immediate plans and may not be necessary to state a specific recovery timeline at this point. It's important to prioritize the patient's understanding and acceptance of their condition.
Question 5 of 5
A patient admitted to the coronary care unit (CCU) with an ST-segment-elevation myocardial infarction (STEMI) is restless and anxious. The blood pressure is 86/40 mm Hg, and heart rate is 132 beats/min. Based on this information, which nursing diagnosis is a priority for the patient?
Correct Answer: D
Rationale: The correct answer is D: Decreased cardiac output related to cardiogenic shock. In this case, the patient's low blood pressure and high heart rate indicate poor cardiac output. Cardiogenic shock is a life-threatening condition where the heart cannot pump enough blood to meet the body's needs. This is a priority nursing diagnosis as it requires immediate intervention to stabilize the patient's hemodynamics and prevent further deterioration. Choices A, B, and C are incorrect because while they are valid concerns for the patient, they are not as immediately life-threatening as cardiogenic shock. Acute pain, anxiety, and stress overload can all be addressed once the patient's hemodynamic stability is ensured. However, without addressing the decreased cardiac output and cardiogenic shock first, the patient's condition could rapidly worsen and lead to serious consequences.