ATI RN
Cardiovascular Practice Questions Questions
Question 1 of 5
The client is experiencing a drug-drug interaction with niacin. Which drug has a drug-drug interaction with niacin?
Correct Answer: B
Rationale: The correct answer is B: Statin drugs. Niacin can increase the risk of myopathy when used with statins due to potential additive effects on muscle toxicity. Statins are known to cause muscle-related side effects, and combining them with niacin can further exacerbate this risk. Aspirin (A), Theophylline (C), and Digoxin (D) do not typically have significant drug-drug interactions with niacin. It is important to be cautious when combining niacin with statins to minimize the risk of adverse effects.
Question 2 of 5
The client has atrial fibrillation. The treatment of choice to convert to normal sinus rhythm is what?
Correct Answer: B
Rationale: The correct answer is B: Cardioversion. Cardioversion is the treatment of choice to convert atrial fibrillation to normal sinus rhythm quickly and effectively. It involves delivering an electric shock to the heart to restore its normal rhythm. Digoxin (choice A) is not used for acute conversion but for rate control. Metoprolol (choice C) and Verapamil (choice D) are used for rate control and not for rhythm conversion. Therefore, Cardioversion is the most appropriate choice in this scenario.
Question 3 of 5
When developing a teaching plan for a 61-yr-old patient with multiple risk factors for coronary artery disease (CAD), the nurse should focus primarily on the
Correct Answer: B
Rationale: The correct answer is B: elevated low-density lipoprotein (LDL) level. Elevated LDL is a major risk factor for CAD, especially in older adults. Focusing on lowering LDL levels through lifestyle modifications or medications can help reduce the risk of CAD. Family history (A) is important but not modifiable. Gender (C) is a risk factor, but LDL level is more directly related to CAD risk. Aging (D) increases risk, but addressing specific risk factors like LDL level is crucial in prevention.
Question 4 of 5
Heparin is ordered for a patient with a non–ST-segment-elevation myocardial infarction (NSTEMI). What is the purpose of the heparin?
Correct Answer: C
Rationale: The correct answer is C: Heparin prevents the development of new clots in the coronary arteries. Heparin is an anticoagulant that works by inhibiting the formation of blood clots. In the case of NSTEMI, there is a risk of clot formation in the coronary arteries, which can worsen the condition. By preventing the development of new clots, heparin helps maintain blood flow to the heart muscle. Choice A is incorrect because heparin actually inhibits platelet aggregation, preventing clot formation. Choice B is incorrect as heparin does not directly affect the size of the plaque in the arteries. Choice D is incorrect because heparin does not actively dissolve existing blood clots, but rather prevents new clots from forming.
Question 5 of 5
A patient who is recovering from an acute myocardial infarction (AMI) asks the nurse when sexual intercourse can be resumed. Which response by the nurse is best?
Correct Answer: B
Rationale: The correct answer is B because it provides accurate information about the energy expenditure during sexual activity, which can be a concern for patients recovering from an AMI. Climbing two flights of stairs is a useful reference point for patients to gauge their readiness for physical exertion. Choice A is incorrect as it oversimplifies the potential risks and complications associated with resuming sexual activity post-AMI. Choice C is incorrect as it suggests that the doctor will provide specific guidelines without addressing the patient's concerns in the moment. Choice D is incorrect as it focuses solely on emotional intimacy rather than addressing the patient's question about physical activity.