ATI RN
Cardiovascular Practice Questions Questions
Question 1 of 5
The client has developed neutropenia from a medication. What medication might this be?
Correct Answer: B
Rationale: Neutropenia is a known side effect of captopril, an ACE inhibitor. Captopril can lead to a decrease in white blood cells, including neutrophils. Metoprolol, Lisinopril, and Guanfacine are not associated with causing neutropenia. Metoprolol is a beta-blocker, Lisinopril is another ACE inhibitor, and Guanfacine is an alpha-2 adrenergic agonist. It is crucial to identify captopril as the likely medication causing neutropenia based on its pharmacological profile and known adverse effects.
Question 2 of 5
The client is on an ADP receptor blocker for the prevention of recurrent myocardial infarction. What does the nurse expect when the client develops hemorrhaging and a low platelet count?
Correct Answer: C
Rationale: The correct answer is C. Thrombotic thrombocytopenic purpura (TTP) is a rare but serious adverse effect associated with ADP receptor blockers, characterized by microangiopathic hemolytic anemia, thrombocytopenia, fever, renal dysfunction, and neurological abnormalities. The development of hemorrhaging and low platelet count in this client suggests TTP, not a typical reaction to ADP receptor blockers (choice A), not necessarily due to concomitant aspirin use (choice B), and not necessarily indicative of taking too much of the medication (choice D). TTP requires immediate medical intervention to prevent serious complications.
Question 3 of 5
The client is experiencing a drug-drug interaction with niacin. Which drug has a drug-drug interaction with niacin?
Correct Answer: B
Rationale: The correct answer is B: Statin drugs. Niacin can increase the risk of myopathy when used with statins due to potential additive effects on muscle toxicity. Statins are known to cause muscle-related side effects, and combining them with niacin can further exacerbate this risk. Aspirin (A), Theophylline (C), and Digoxin (D) do not typically have significant drug-drug interactions with niacin. It is important to be cautious when combining niacin with statins to minimize the risk of adverse effects.
Question 4 of 5
The client has been found to have a normal cardiac output. What value represents a normal cardiac output?
Correct Answer: C
Rationale: The correct answer is C (4 l/min) because a normal cardiac output typically ranges from 4 to 8 liters per minute in adults. This value ensures adequate blood circulation to meet the body's needs. Choices A, B, and D are incorrect as they fall outside the normal range and may indicate either insufficient or excessive cardiac output, which can lead to health issues.
Question 5 of 5
The client has atrial fibrillation. The treatment of choice to convert to normal sinus rhythm is what?
Correct Answer: B
Rationale: The correct answer is B: Cardioversion. Cardioversion is the treatment of choice to convert atrial fibrillation to normal sinus rhythm quickly and effectively. It involves delivering an electric shock to the heart to restore its normal rhythm. Digoxin (choice A) is not used for acute conversion but for rate control. Metoprolol (choice C) and Verapamil (choice D) are used for rate control and not for rhythm conversion. Therefore, Cardioversion is the most appropriate choice in this scenario.