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. 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 have significant drug-drug interactions with niacin. Therefore, the correct choice is B based on the known interaction between niacin and statin drugs leading to an increased risk of myopathy.
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 electrically or pharmacologically convert atrial fibrillation to normal sinus rhythm. Digoxin (A) is used for rate control, not rhythm conversion. Metoprolol (C) is a beta-blocker that helps control heart rate but does not convert rhythm. Verapamil (D) is a calcium channel blocker that can worsen atrial fibrillation and is contraindicated for rhythm conversion.
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. This is the most critical factor to focus on when developing a teaching plan for a patient with multiple risk factors for CAD. Elevated LDL is a major contributor to the development of atherosclerosis, a key process in CAD. Lowering LDL through lifestyle modifications or medication can significantly reduce the risk of CAD. A: Family history is important but cannot be modified. C: Gender is a non-modifiable risk factor and may play a role but is not as directly impactful as elevated LDL. D: While age is a risk factor for CAD, it is not as modifiable as lowering LDL levels. In summary, focusing on controlling the elevated LDL level through lifestyle changes and medication will have the most significant impact on reducing the patient's risk for CAD.
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 commonly used in NSTEMI to prevent the formation of new clots, which can worsen the blockage in the coronary arteries. It does not enhance platelet aggregation (A), decrease plaque size (B), or dissolve existing clots (D). Preventing new clots is crucial in NSTEMI to avoid further ischemia and potential complications.
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. Sexual activity uses about as much energy as climbing two flights of stairs. This response is best because it provides the patient with a tangible comparison to understand the energy expenditure involved in sexual activity post-AMI. It reassures the patient that resuming sexual activity is feasible and not overly strenuous on the heart. Choice A is incorrect because it oversimplifies the potential complications that can arise during sexual intercourse post-AMI. Choice C is incorrect as it defers the responsibility to the doctor without providing immediate guidance to the patient. Choice D is incorrect as it does not address the patient's query about the timing of resuming sexual activity post-AMI.