ATI RN
ANCC Cardiovascular Certification Practice Questions Questions
Question 1 of 5
The client has had heparin-induced thrombocytopenia. How is this treated?
Correct Answer: D
Rationale: Correct Answer: D - Give lepirudin Rationale: 1. Heparin-induced thrombocytopenia (HIT) is a condition where heparin causes a decrease in platelet count. 2. Lepirudin is a direct thrombin inhibitor used to treat HIT by preventing thrombin formation. 3. Clotting factors (A) are not indicated as HIT involves excessive clotting, not clotting factor deficiency. 4. Vitamin K (B) and warfarin (C) are used to treat other conditions like Vitamin K deficiency and as an oral anticoagulant, not HIT.
Question 2 of 5
The client is taking a statin medication. What common adverse reaction should the nurse warn the client about?
Correct Answer: A
Rationale: The correct answer is A: Muscle weakness. Statin medications are known to cause muscle-related side effects, including muscle weakness or pain, due to muscle inflammation or damage. This condition, known as myopathy, can progress to a serious condition called rhabdomyolysis. It is crucial for the nurse to warn the client about this adverse reaction to ensure prompt recognition and management. Summary of other choices: B: Constipation - Not a common adverse reaction of statin medications. C: Diarrhea - Not a common adverse reaction of statin medications. D: Dizziness - Dizziness is not a common adverse reaction of statin medications.
Question 3 of 5
T 1 O2 sat 99 percent. Which number represents the client’s systolic blood pressure?
Correct Answer: B
Rationale: The correct answer is B (120) as a normal systolic blood pressure range is around 90-120 mmHg. A reading of 99% oxygen saturation indicates good oxygen levels, not blood pressure. Choices A (16) and C (60) are too low for a typical systolic blood pressure. Choice D (99) is close but is the O2 saturation, not blood pressure.
Question 4 of 5
The client has paroxysmal supraventricular tachycardia. What are some causes of this? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Stimulants. Paroxysmal supraventricular tachycardia can be caused by stimulants like caffeine, nicotine, or certain medications that increase heart rate. Stress (choice A) can trigger palpitations but is not a direct cause of PSVT. Hypotension (choice B) and hypertension (choice D) are related to blood pressure and not typically direct causes of PSVT. In summary, stimulants directly increase heart rate and can trigger PSVT, making them the correct choice.
Question 5 of 5
The client is preparing to have a cardiac stress test. What does the nurse tell the client to do in order to have the test?
Correct Answer: C
Rationale: The correct answer is C: The client will run on a treadmill. This is because a cardiac stress test typically involves the client walking or running on a treadmill to increase their heart rate while being monitored for any abnormalities in the heart's function. This helps healthcare providers assess the heart's response to exercise and detect any potential cardiac issues. Choices A, B, and D are incorrect because lying still throughout the test, having an EKG after the test, and the test hurting for only a moment do not accurately describe the process of a cardiac stress test.