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) because the normal systolic blood pressure range is around 90-120 mmHg. A systolic blood pressure of 120 is within the normal range, indicating adequate perfusion to maintain an oxygen saturation level of 99 percent. Choices A, C, and D are incorrect because they are not within the normal systolic blood pressure range and would not be expected to maintain a high oxygen saturation level. Option A (16) is too low, option C (60) is also low for a systolic blood pressure, and option D (99) is close but still on the lower end of the normal range.
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. During a cardiac stress test, the client is required to exercise on a treadmill to increase the heart rate and monitor the heart's response to physical activity. This helps in diagnosing heart conditions such as coronary artery disease. Choice A is incorrect as the client needs to be physically active during the test. Choice B is incorrect as the EKG is typically done before and during the test, not after. Choice D is incorrect as the test involves continuous exercise and monitoring, not a momentary pain.
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 low blood pressure (90/54 mm Hg) is a known side effect of metoprolol. Metoprolol is a beta-blocker that can cause hypotension. Restlessness, agitation, and anxiety are not typical side effects of metoprolol. A normal sinus rhythm on the heart monitor does not indicate a side effect of metoprolol. Low blood pressure is a common side effect of metoprolol due to its beta-blocking effects on the heart and blood vessels, leading to decreased cardiac output and vasodilation.
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: Rationale: Choice C is correct because it addresses the patient's perception and gently introduces the idea that plans may need to change post-MI. It acknowledges the patient's experience while subtly hinting at the importance of considering adjustments for health reasons. Summary of Incorrect Choices: A: This choice focuses on the cause of chest pain, which is not the immediate concern post-MI. B: While discussing vacation plans is relevant, it does not address the patient's potentially unrealistic expectations. D: While recovery time is important, stating a specific timeline may not be necessary or applicable to every patient's situation.
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 a patient with STEMI, the low blood pressure (86/40 mm Hg) and high heart rate (132 beats/min) indicate poor cardiac output. Cardiogenic shock is a life-threatening condition that occurs due to decreased cardiac output. Restlessness and anxiety can be signs of inadequate tissue perfusion in cardiogenic shock. Addressing decreased cardiac output is crucial to prevent further deterioration. A: Acute pain is a common symptom in STEMI but not the priority when the patient is in cardiogenic shock. B: Anxiety is a valid concern, but the primary focus should be on addressing the physiological instability caused by decreased cardiac output. C: Stress overload can be a contributing factor, but the immediate priority is managing the cardiogenic shock to stabilize the patient's condition.