ATI RN
Cardiovascular Test Bank Questions
Question 1 of 5
The client is being fitted for a Holter Monitor. What does the nurse tell the client in preparation for the test?
Correct Answer: D
Rationale: The correct answer is D because the client should record the time of any palpable events, such as palpitations, during the Holter Monitor test to correlate symptoms with the recorded heart rhythm. This information helps healthcare providers make an accurate diagnosis. Choice A is incorrect as the client can go about their usual activities during the test. Choice B is incorrect as the client can bathe normally while wearing the Holter monitor. Choice C is incorrect as the test typically lasts for 24 to 48 hours, not just 30 minutes.
Question 2 of 5
When caring for a patient who is recovering from a sudden cardiac death (SCD) event and has no evidence of an acute myocardial infarction (AMI), the nurse will anticipate teaching the patient that
Correct Answer: B
Rationale: The correct answer is B because after a sudden cardiac death (SCD) event without evidence of an acute myocardial infarction (AMI), additional diagnostic testing is needed to determine the underlying cause and assess the risk of recurrence. This testing may include cardiac imaging, electrophysiological studies, and genetic testing. By identifying the specific cause, healthcare providers can tailor treatment plans to prevent future SCD events. A: This is incorrect because the risk of SCD recurrence can vary based on the underlying cause and individual patient factors. C: Long-term anticoagulation therapy is not typically indicated for SCD without evidence of AMI unless there is a specific indication such as atrial fibrillation or a clotting disorder. D: Limiting physical activity alone is not a comprehensive strategy for preventing future SCD events; individualized recommendations should be based on diagnostic findings.
Question 3 of 5
When caring for a patient with acute coronary syndrome who has returned to the coronary care unit after having angioplasty with stent placement, the nurse obtains the following assessment data. Which data indicate the need for immediate action by the nurse?
Correct Answer: C
Rationale: The correct answer is C: Report of severe chest pain. Severe chest pain in a patient with acute coronary syndrome after angioplasty with stent placement can indicate a potential complication like stent thrombosis or myocardial infarction. Immediate action is required to assess the patient's condition, administer appropriate interventions, and prevent further complications. A: Heart rate 102 beats/min - Although an elevated heart rate can indicate cardiac stress, it is not as urgent as severe chest pain in this context. B: Pedal pulses 1+ bilaterally - While decreased pedal pulses may indicate peripheral vascular issues, it is not as critical as addressing severe chest pain in a patient with acute coronary syndrome. D: Blood pressure 103/54 mm Hg - Although low blood pressure can be concerning, it is not as immediately life-threatening as severe chest pain in this scenario.
Question 4 of 5
A client complains of crushing chest pain that radiates to his left arm. He should be presented with the following treatment:
Correct Answer: A
Rationale: The correct answer is A: Aspirin, oxygen, nitroglycerin, and morphine. 1. Aspirin helps to inhibit platelet aggregation. 2. Oxygen aids in improving oxygenation. 3. Nitroglycerin dilates coronary arteries, reducing cardiac workload. 4. Morphine helps in relieving pain and reducing anxiety. Summary: - Choice B: Codeine is not indicated for acute coronary syndrome. - Choice C: Meperidine is not recommended due to its adverse effects. - Choice D: Nitroprusside is not typically used in the initial treatment of acute coronary syndrome.
Question 5 of 5
A client comes to the clinic and states he has a history of hypertension. Which type of medication might the nurse expect the client to be taking to control his blood pressure?
Correct Answer: C
Rationale: Step 1: ACE inhibitors are commonly prescribed for hypertension as they help relax blood vessels, lowering blood pressure. Step 2: Antilipemics are for lowering cholesterol, not blood pressure. Step 3: Antibiotics are for infections, not hypertension. Step 4: Antidiabetics are for managing blood sugar levels, not blood pressure. Summary: Choice C is correct as ACE inhibitors are specifically used to manage hypertension by lowering blood pressure. Choices A, B, and D are incorrect as they are used for different purposes unrelated to hypertension.