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: The correct answer is D: Give lepirudin. Heparin-induced thrombocytopenia is a serious condition caused by heparin use. Lepirudin is a direct thrombin inhibitor used to treat this condition by preventing further clot formation. Other choices are incorrect because: A: Clotting factors are not appropriate as they can worsen the condition. B: Vitamin K is used to reverse the effects of warfarin, not heparin-induced thrombocytopenia. C: Warfarin is not used in the acute treatment of heparin-induced thrombocytopenia, as it takes time to achieve therapeutic anticoagulation.
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. Statins are known to cause myopathy, leading to muscle weakness and pain. This adverse reaction can progress to rhabdomyolysis, a serious condition. Constipation (B), diarrhea (C), and dizziness (D) are not commonly associated with statin use. It is crucial for the nurse to educate the client about the potential risk of muscle weakness and the importance of reporting any symptoms to their healthcare provider promptly.
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) because the normal systolic blood pressure range is around 90-120 mmHg. A systolic blood pressure of 120 is within the normal range, indicating adequate perfusion to maintain an oxygen saturation level of 99 percent. Choices A, C, and D are incorrect because they are not within the normal systolic blood pressure range and would not be expected to maintain a high oxygen saturation level. Option A (16) is too low, option C (60) is also low for a systolic blood pressure, and option D (99) is close but still on the lower end of the normal range.
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 (PSVT) is often caused by triggers like caffeine, nicotine, or illegal drugs that stimulate the heart's electrical system. Stress (A) can exacerbate PSVT but not directly cause it. Hypotension (B) and hypertension (D) are related to blood pressure and not primary causes of PSVT.
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. During a cardiac stress test, the client is required to exercise on a treadmill to increase the heart rate and monitor the heart's response to physical activity. This helps in diagnosing heart conditions such as coronary artery disease. Choice A is incorrect as the client needs to be physically active during the test. Choice B is incorrect as the EKG is typically done before and during the test, not after. Choice D is incorrect as the test involves continuous exercise and monitoring, not a momentary pain.