ATI RN
Med Surg Cardiovascular Test Bank Questions
Question 1 of 5
The client asks about side effects of taking digoxin. How does the nurse respond?
Correct Answer: B
Rationale: The correct answer is B: Tachycardia can be a side effect of digoxin. Digoxin is a cardiac glycoside that can lead to tachycardia as a side effect due to its effects on the heart. Anorexia (A), constipation (C), and urinary retention (D) are not commonly associated with digoxin use and are not typical side effects. Tachycardia is a known adverse effect of digoxin due to its ability to increase heart contractility, leading to a faster heart rate. This is why option B is the most appropriate response to the client's question about digoxin side effects.
Question 2 of 5
The client is taking a class IA anti-arrhythmic agent. What might be the drug the client is taking? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Procainamide. Class IA anti-arrhythmic agents, like Procainamide, work by blocking sodium channels, prolonging action potential duration. Metoprolol (A) is a beta-blocker, not a class IA agent. Disopyramide (B) is a class IA agent, but it acts primarily by blocking potassium channels. Morcizine (D) is a class IC anti-arrhythmic agent, not a class IA agent. Therefore, Procainamide is the most likely choice among the options provided.
Question 3 of 5
The client is taking an ACE inhibitor. For what reason might the client be taking this drug? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Hypertension. ACE inhibitors are commonly prescribed to treat hypertension by blocking the conversion of angiotensin I to angiotensin II, resulting in vasodilation and decreased blood pressure. Explanation for other choices: A: Frequent PVCs - ACE inhibitors are not typically used to treat PVCs as they are more related to cardiac arrhythmias. B: Atrial flutter - ACE inhibitors are not the first-line treatment for atrial flutter, which is usually managed with antiarrhythmic medications or cardioversion. D: Diabetic nephropathy - While ACE inhibitors can be used to treat diabetic nephropathy by reducing intraglomerular pressure, it is not the primary indication for their use in this scenario.
Question 4 of 5
The nurse is reviewing the client’s medication list before giving IV heparin. What drug has a drug-drug interaction with heparin?
Correct Answer: D
Rationale: The correct answer is D: Aspirin. Aspirin interacts with heparin by increasing the risk of bleeding due to their combined antiplatelet effects. Heparin is an anticoagulant, while aspirin is an antiplatelet agent. The combination can lead to excessive bleeding. A: Acetaminophen does not have a significant drug-drug interaction with heparin. B: ACE inhibitors do not have a direct interaction with heparin. C: Nitroprusside is not typically associated with a drug-drug interaction with heparin.
Question 5 of 5
The client is on a blood thinner and is experiencing tinnitus. Which drug is the client likely taking?
Correct Answer: D
Rationale: The correct answer is D: Warfarin. Warfarin is known to cause tinnitus as a side effect due to its anticoagulant properties affecting blood flow in the inner ear. Pradaxa (A) is less likely to cause tinnitus. Aspirin (B) can cause tinnitus but is not a blood thinner. Heparin (C) is not associated with tinnitus. In summary, Warfarin is the likely drug causing tinnitus due to its anticoagulant effects on inner ear blood flow.