ATI LPN
Cardiovascular Nursing Questions Questions
Question 1 of 5
The assistive personnel(AP) is taking orthostatic vital signs. In the supine position, the BP is 130/80 mm Hg, and HR is 80 beats/min. In the sitting position, the BP is 140/80, and HR is 90 beats/min. What should the nurse instruct the AP to do next?
Correct Answer: C
Rationale: When assessing for orthostatic changes, the AP will take the BP and pulse in the supine position, then place the patient in a sitting position for 1 to 2 minutes and repeat the readings, and then reposition to the standing position for 1 to 2 minutes and repeat the readings.
Question 2 of 5
What is the expected outcome of furosemide therapy in a patient with heart failure?
Correct Answer: B
Rationale: Furosemide reduces fluid overload, alleviating pulmonary congestion and improving respiratory status.
Question 3 of 5
What is the nurse's priority intervention if a client receiving furosemide IV reports dizziness when standing?
Correct Answer: C
Rationale: Furosemide can cause volume depletion and hypotension, leading to dizziness when standing.
Question 4 of 5
The valve between the right atrium and the right ventricle is called the:
Correct Answer: B
Rationale: The tricuspid valve prevents backflow from the right ventricle to the right atrium during contraction.
Question 5 of 5
A patient with a large non-functioning pituitary macroadenoma is found to have pan-hypopituitarism. He has had orthostasis, nausea, and weight loss for 8-12 months. Which of these would be most consistent with this?
Correct Answer: D
Rationale: Pan-hypopituitarism from a large pituitary macroadenoma impairs multiple hormone axes, including TSH secretion, leading to secondary hypothyroidism (low or normal TSH with low free T4). Visual field defects are possible but less specific here, and hypergonadotropic hypogonadism is incorrect as LH would be low.