ATI RN
ANCC Cardiovascular Certification Practice Questions Questions
Question 1 of 5
The client is being given a cardio-selective beta blocker because of which possible reasons? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Dysrhythmias. Cardio-selective beta blockers are commonly used to manage dysrhythmias by blocking the effects of adrenaline on the heart, helping to regulate the heart rate and rhythm. This is achieved by blocking beta-1 receptors in the heart, without affecting beta-2 receptors in the lungs. Incorrect choices: A: Hypotension - Beta blockers can actually worsen hypotension by reducing the heart rate and cardiac output. B: Hypertension - While beta blockers can be used to treat hypertension, cardio-selective beta blockers are not typically the first choice for this condition. D: Cardiac arrest - Beta blockers are used in some cases to prevent cardiac arrest, but they are not the primary treatment for this emergency situation.
Question 2 of 5
The client is taking an ACE inhibitor. What is a contraindication to taking this drug?
Correct Answer: C
Rationale: The correct answer is C: Renal artery stenosis. ACE inhibitors can lead to decreased renal blood flow, which can worsen renal artery stenosis. This can result in decreased kidney function and potentially lead to renal failure. A: Hypertension is not a contraindication to taking ACE inhibitors, as they are commonly used to treat hypertension. B: Bronchospasm is not a contraindication to taking ACE inhibitors, as they are not known to worsen bronchospasm. D: Heart failure is not a contraindication to taking ACE inhibitors, as they are commonly used to treat heart failure by reducing strain on the heart.
Question 3 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 4 of 5
The nurse is instructing the client on the taking of aspirin. What would be part of that instruction?
Correct Answer: C
Rationale: The correct answer is C: Discard any aspirin that smells like vinegar. This instruction is important as it indicates that the aspirin may have degraded and is no longer effective or safe for use. Taking expired medication can be harmful. Explanation of why other choices are incorrect: A: Taking aspirin on an empty stomach can increase the risk of stomach irritation and ulcers. B: Warfarin and aspirin should not be taken together without medical supervision as they both increase the risk of bleeding. D: Aspirin is contraindicated in hemophiliacs as it further increases the risk of bleeding.
Question 5 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.