ATI RN
ATI Cardiovascular Test Bank Questions
Question 1 of 5
The client has stable angina. What class of drug is used to treat angina? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Organic nitrates. Organic nitrates are vasodilators that help dilate blood vessels, reducing the workload of the heart and improving blood flow to the heart muscle, thus relieving angina symptoms. Digoxin (A) is used for heart failure and arrhythmias, not angina. Adenosine (C) is used for supraventricular tachycardia, not angina. Beta blockers (D) are also used for angina, but organic nitrates are the first-line treatment due to their rapid onset of action in relieving angina symptoms.
Question 2 of 5
Priority nursing interventions when a client is being given warfarin include what?
Correct Answer: D
Rationale: The correct answer is D: Monitor the INR. The International Normalized Ratio (INR) is crucial for monitoring warfarin therapy as it assesses the client's clotting time. INR values within the therapeutic range indicate the efficacy and safety of warfarin. Monitoring blood pressure (A) is important but not a priority for warfarin therapy. Monitoring vitamin K level (B) is unnecessary as warfarin inhibits vitamin K-dependent clotting factors. Monitoring warfarin level (C) is not routinely done as INR is a more accurate reflection of its effect.
Question 3 of 5
The client is taking a medication that digests the fibrin network in a blood clot. What medication is the client likely taking?
Correct Answer: B
Rationale: The correct answer is B: Streptokinase. Streptokinase is a thrombolytic medication that works by activating plasminogen to convert into plasmin, which then digests the fibrin network in a blood clot. Heparin (A) and Warfarin (C) are anticoagulants that prevent blood clots but do not directly digest fibrin. Ticlid (D) is an antiplatelet medication that inhibits platelet aggregation, not fibrin digestion.
Question 4 of 5
The client is taking gemfibrozil. What contraindication to taking the drug should the nurse tell the client about?
Correct Answer: C
Rationale: The correct answer is C: Active gallbladder disease. Gemfibrozil can exacerbate gallbladder disease by increasing the risk of gallstones. This can lead to complications such as cholecystitis. Therefore, clients with active gallbladder disease should be cautious when taking gemfibrozil. A: History of MI - This is not a contraindication for gemfibrozil. In fact, gemfibrozil can be beneficial for clients with a history of MI by helping to lower triglyceride levels and reduce the risk of cardiovascular events. B: History of elevated triglyceride levels - This is not a contraindication for gemfibrozil. In fact, gemfibrozil is indicated for the treatment of elevated triglyceride levels. D: Taking aspirin with gemfibrozil - While there can be interactions between aspirin and gemfibrozil, it is not a contraindication. Clients may need to be monitored for
Question 5 of 5
The client has a diastolic murmur. This means that the murmur is heard when in the cardiac cycle?
Correct Answer: D
Rationale: The correct answer is D: Between the S2 and the S1 beat. A diastolic murmur is heard during the relaxing phase of the heart cycle, between the closure of the aortic valve (S2) and the mitral valve (S1) opening. This indicates a problem with the heart valves during diastole. Choices A, B, and C do not align with the timing of diastolic murmurs in the cardiac cycle and are therefore incorrect.