ATI RN
Med Surg Cardiovascular Test Bank Questions
Question 1 of 5
The client is on a blood thinner and is experiencing tinnitus. Which drug is the client likely taking?
Correct Answer: D
Rationale: The correct answer is D: Warfarin. Warfarin is an anticoagulant that can lead to tinnitus as a side effect due to its impact on blood clotting. Pradaxa (A) and Heparin (C) are also anticoagulants but are less likely to cause tinnitus. Aspirin (B) is an antiplatelet drug and is not typically associated with tinnitus. Therefore, considering the client is on a blood thinner and experiencing tinnitus, Warfarin is the most likely culprit.
Question 2 of 5
The client has a history of atrial fibrillation and is taking quinidine. Which of the following drugs will have a drug-drug interaction with quinidine?
Correct Answer: B
Rationale: The correct answer is B: Lanoxin. Quinidine can increase Lanoxin levels, leading to toxicity due to shared metabolic pathways. Lasix (A), Inderal (C), and Dyazide (D) do not have significant drug interactions with quinidine. Lasix is a diuretic, Inderal is a beta-blocker, and Dyazide is a combination diuretic, so they do not interact with quinidine in the same way as Lanoxin.
Question 3 of 5
The client has symptomatic sinus bradycardia. Which is the drug of choice to treat this condition?
Correct Answer: D
Rationale: Sinus bradycardia is a condition characterized by a slow heart rate. Atropine is the drug of choice as it acts as a muscarinic antagonist, increasing heart rate by blocking vagal stimulation. Quinidine, Adenosine, and Procainamide are not indicated for sinus bradycardia. Quinidine is an antiarrhythmic for atrial arrhythmias, Adenosine is for supraventricular tachycardia, and Procainamide is for ventricular arrhythmias.
Question 4 of 5
The client is having a routine EKG. What should the nurse do as a priority intervention?
Correct Answer: B
Rationale: The correct answer is B: Tell the client to remain motionless. This is the priority intervention because moving during an EKG can lead to inaccurate results. By instructing the client to remain still, the nurse ensures the test is conducted accurately. Choice A is incorrect because EKG is a painless procedure. Choice C is incorrect as it is not the priority concern during the test. Choice D is incorrect as shaving the chest is not necessary for a routine EKG.
Question 5 of 5
A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute myocardial infarction (AMI). Which laboratory test should the nurse monitor to best determine whether the patient has had an AMI?
Correct Answer: D
Rationale: The correct answer is D: Cardiac-specific troponin. Troponin is a protein released into the bloodstream when there is damage to the heart muscle, such as during an AMI. It is the most specific and sensitive marker for diagnosing AMI. Myoglobin is not as specific to the heart and can be elevated in other conditions. Homocysteine is not a marker for acute myocardial infarction. C-reactive protein is a marker of inflammation and is not specific to AMI. Therefore, monitoring cardiac-specific troponin levels is the best indicator of whether the patient has had an AMI.