ATI RN
Cardiovascular Test Bank Questions
Question 1 of 5
The client is on a cardio-selective beta blocker. Why might this be ordered?
Correct Answer: C
Rationale: The correct answer is C because a client with asthma would benefit from a cardio-selective beta blocker since it has less effect on beta-2 receptors in the lungs, thus reducing the risk of bronchoconstriction. Choice A is incorrect because beta blockers do not cause blockage in blood vessels. Choice B is incorrect as hypotension is not a reason for cardio-selective beta blockers. Choice D is incorrect as hypoglycemia is not typically worsened by non-cardio-selective beta blockers.
Question 2 of 5
The nurse is teaching the client about taking an ACE inhibitor. A typical side effect of an ACE inhibitor explained to the client is what?
Correct Answer: A
Rationale: The correct answer is A: Cough. ACE inhibitors commonly cause a dry, persistent cough due to their effect on bradykinin levels. This side effect is important to educate the client about. Bradycardia (B) is not a typical side effect of ACE inhibitors. Hypokalemia (C) is a possible side effect due to increased potassium excretion but is less common than cough. Weight gain (D) is not associated with ACE inhibitors but may occur with other medications like corticosteroids. It's crucial to focus on the most common and relevant side effect when teaching clients.
Question 3 of 5
Priority nursing interventions when a client is on heparin include the following:
Correct Answer: B
Rationale: The correct answer is B: Monitor the IV site for extravasation. This is crucial because heparin is an anticoagulant medication that can cause bleeding if not administered properly. Monitoring the IV site helps prevent potential complications such as bleeding, hematoma, or tissue damage. Other choices are incorrect: A: Providing antacids for digestive upset is not a priority when a client is on heparin. C: Monitoring signs of acute blood loss is important, but the immediate concern is preventing complications related to heparin administration. D: Monitoring the respiratory rate is not directly related to heparin therapy and is not a priority intervention in this case.
Question 4 of 5
The client is experiencing a drug-drug reaction by taking aspirin with what other drug?
Correct Answer: C
Rationale: The correct answer is C: Heparin. Aspirin and Heparin can interact and increase the risk of bleeding due to their combined antiplatelet effects. This interaction can lead to serious complications in the client. Cimetidine (A) is not typically known to interact significantly with aspirin. Prednisone (B) is a corticosteroid and does not have a significant interaction with aspirin in terms of drug-drug reactions. Amoxicillin (D) is an antibiotic and is not known to interact significantly with aspirin in a drug-drug reaction scenario. In conclusion, the correct choice (C) stands out due to its potential for a significant adverse outcome when combined with aspirin.
Question 5 of 5
The client is on a statin medication. The nurse tells the client that the purpose of taking a statin drug is what?
Correct Answer: B
Rationale: The correct answer is B: To reduce total and LDL cholesterol. Statin medications are primarily used to lower cholesterol levels, specifically total cholesterol and LDL cholesterol, to reduce the risk of cardiovascular events. This is achieved by inhibiting an enzyme involved in cholesterol synthesis. Incorrect answers: A: Thinning blood is the function of anticoagulants, not statins. C: Statins do not break up plaques in the arteries; they prevent further plaque buildup. D: Statins do not destabilize cholesterol plaques; they primarily focus on lowering cholesterol levels.