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 medication that can lead to tachycardia as a side effect due to its impact on the heart's electrical activity. Anorexia (A), constipation (C), and urinary retention (D) are not commonly associated with digoxin use. Tachycardia is the most relevant side effect to address when discussing digoxin with a client, as it can indicate potential toxicity and the need for medical intervention.
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, a class IA anti-arrhythmic agent. Procainamide is known for its sodium channel blocking properties, which helps to stabilize cell membranes and prevent abnormal electrical activity in the heart. Metoprolol (A) is a beta-blocker, Disopyramide (B) is a class IA anti-arrhythmic agent but not commonly used, and Morcizine (D) is a class IC anti-arrhythmic agent. Therefore, C is the correct choice for a class IA anti-arrhythmic agent.
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 used to treat hypertension by dilating blood vessels and reducing blood pressure. This drug works by blocking the production of angiotensin II, a hormone that constricts blood vessels. Therefore, it is an effective treatment for managing high blood pressure. Choice A (Frequent PVCs) and choice B (Atrial flutter) are incorrect because ACE inhibitors are not typically used to treat these conditions. Choice D (Diabetic nephropathy) is also incorrect as while ACE inhibitors are sometimes used to manage diabetic nephropathy due to their ability to protect the kidneys, it is not the primary reason for prescribing this medication in most cases.
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 can increase the risk of bleeding when taken with heparin, which is also an anticoagulant. This combination may lead to excessive bleeding. Acetaminophen (A) does not have a significant drug interaction with heparin. ACE inhibitors (B) and Nitroprusside (C) are not known to have interactions with heparin that increase bleeding risk.
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 an anticoagulant that can lead to tinnitus as a side effect due to its impact on blood clotting. Pradaxa (A) and Heparin (C) are also anticoagulants but are less likely to cause tinnitus. Aspirin (B) is an antiplatelet drug and is not typically associated with tinnitus. Therefore, considering the client is on a blood thinner and experiencing tinnitus, Warfarin is the most likely culprit.