ATI RN
Cardiovascular Test Bank Questions Questions
Question 1 of 5
The client has hypertension. Which drug the client is taking has an effect on blood pressure?
Correct Answer: A
Rationale: The correct answer is A: Dyazide. Dyazide is a combination medication of hydrochlorothiazide and triamterene, which are diuretics that help lower blood pressure by reducing fluid retention and decreasing blood volume. Metformin is primarily used for diabetes, Digoxin for heart conditions, and Warfarin for blood clotting. Therefore, only Dyazide directly affects blood pressure by targeting fluid balance.
Question 2 of 5
The client has several PVCs in a row on a standard EKG. What is this rhythm called?
Correct Answer: B
Rationale: The correct answer is B: Ventricular tachycardia. This is because when several PVCs occur in a row on an EKG, it indicates an abnormal rhythm originating from the ventricles. Ventricular tachycardia is characterized by a rapid heart rate originating in the ventricles. A: Frequent PVCs is incorrect because it does not specify the specific rhythm pattern seen in the EKG. C: Atrial tachycardia is incorrect because the PVCs originate from the ventricles, not the atria. D: Supraventricular tachycardia is incorrect because it refers to rapid heart rhythms originating above the ventricles, typically in the atria or AV node.
Question 3 of 5
After the nurse teaches the patient about the use of carvedilol (Coreg) in preventing anginal episodes, which statement by a patient indicates that the teaching has been effective?
Correct Answer: B
Rationale: Step 1: Carvedilol is a beta-blocker used to treat high blood pressure, heart failure, and prevent anginal episodes. Step 2: Suddenly stopping carvedilol can lead to rebound hypertension and worsening of heart condition. Step 3: Choice B indicates understanding of the importance of continuous use to prevent adverse effects. Step 4: Choices A, C, and D are incorrect as they do not reflect the mechanism or effects of carvedilol. Summary: Choice B is correct as it demonstrates knowledge of the importance of not abruptly discontinuing carvedilol to avoid potential harm. Choices A, C, and D are incorrect as they provide inaccurate information regarding carvedilol's effects.
Question 4 of 5
In preparation for discharge, the nurse teaches a patient with chronic stable angina how to use the prescribed short-acting and long-acting nitrates. Which patient statement indicates that the teaching has been effective?
Correct Answer: C
Rationale: The correct answer is C because the patient correctly demonstrates understanding of the correct administration of nitroglycerin. Sitting down before taking sublingual nitroglycerin helps maximize absorption and prevent dizziness due to rapid vasodilation. Choice A is incorrect as checking pulse rate is not essential for nitrate administration. Choice B is incorrect as the nitroglycerin patch should not be applied prophylactically but in response to chest pain. Choice D is incorrect as the sublingual nitroglycerin should be taken first in case of angina, and then the patch can be removed after assessing the patient's condition.
Question 5 of 5
When caring for a patient who has just arrived on the telemetry unit after having cardiac catheterization, which nursing intervention should the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?
Correct Answer: A
Rationale: The correct answer is A: Give the scheduled aspirin and lipid-lowering medication. This task can be safely delegated to an LPN/LVN as it involves administering medications within their scope of practice. LPNs/LVNs are trained to administer medications and can handle routine medication administration. Performing the initial assessment of the catheter insertion site (B) requires a higher level of assessment skill typically performed by a registered nurse. Teaching the patient about the postprocedure plan of care (C) involves patient education, which is usually done by a registered nurse. Titrating the heparin infusion (D) requires advanced knowledge and skill, usually performed by a registered nurse or advanced practice nurse.