ATI RN
Med Surg Cardiovascular Test Bank Questions
Question 1 of 5
The client has a history of atrial fibrillation and is taking quinidine. Which of the following drugs will have a drug-drug interaction with quinidine?
Correct Answer: B
Rationale: The correct answer is B: Lanoxin. Quinidine can increase Lanoxin levels, leading to toxicity due to shared metabolic pathways. Lasix (A), Inderal (C), and Dyazide (D) do not have significant drug interactions with quinidine. Lasix is a diuretic, Inderal is a beta-blocker, and Dyazide is a combination diuretic, so they do not interact with quinidine in the same way as Lanoxin.
Question 2 of 5
The client is having a routine EKG. What should the nurse do as a priority intervention?
Correct Answer: B
Rationale: The correct answer is B: Tell the client to remain motionless. This is the priority intervention because moving during an EKG can lead to inaccurate results. By instructing the client to remain still, the nurse ensures the test is conducted accurately. Choice A is incorrect because EKG is a painless procedure. Choice C is incorrect as it is not the priority concern during the test. Choice D is incorrect as shaving the chest is not necessary for a routine EKG.
Question 3 of 5
A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute myocardial infarction (AMI). Which laboratory test should the nurse monitor to best determine whether the patient has had an AMI?
Correct Answer: D
Rationale: The correct answer is D: Cardiac-specific troponin. Troponin is a protein released into the bloodstream when there is damage to the heart muscle, such as during an AMI. It is the most specific and sensitive marker for diagnosing AMI. Myoglobin is not as specific to the heart and can be elevated in other conditions. Homocysteine is not a marker for acute myocardial infarction. C-reactive protein is a marker of inflammation and is not specific to AMI. Therefore, monitoring cardiac-specific troponin levels is the best indicator of whether the patient has had an AMI.
Question 4 of 5
Three days after experiencing a myocardial infarction (MI), a patient who is scheduled for discharge asks for assistance with hygiene activities, saying, “I am too nervous about my heart to be alone while I get washed up.” Based on this information, which nursing diagnosis is appropriate?
Correct Answer: B
Rationale: Step 1: Identify the key issue - patient is nervous about heart. Step 2: Analyze options - B is directly related to patient's anxiety. Step 3: B is appropriate as it addresses patient's emotional response to MI. Step 4: A is incorrect as weakness is not mentioned as a concern. Step 5: C is incorrect as denial is not explicitly stated. Step 6: D is incorrect as body image is not the main focus.
Question 5 of 5
Which electrocardiographic (ECG) change is most important for the nurse to report to the health care provider when caring for a patient with chest pain?
Correct Answer: C
Rationale: Correct Answer: C - ST-segment elevation Rationale: 1. ST-segment elevation is a key indicator of myocardial infarction or heart attack, requiring immediate intervention. 2. Inverted P wave and first-degree AV block are generally benign findings and do not indicate acute cardiac issues. 3. Sinus tachycardia may be a normal response to stress or pain but does not specifically indicate myocardial infarction.