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 be at risk of bronchoconstriction if given a non-cardio-selective beta blocker. Cardio-selective beta blockers primarily target beta-1 receptors in the heart, sparing beta-2 receptors in the lungs. This reduces the risk of bronchoconstriction in clients with asthma. Choices A, B, and D are incorrect because they do not address the specific concern of bronchoconstriction in clients with asthma. Answer A refers to blood vessel blockage, which is not the primary concern in this scenario. Answer B mentions hypotension, which is not directly related to the risk of bronchoconstriction in asthma. Answer D discusses hypoglycemia, which is not a primary concern with beta blockers in asthma management.
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 can cause a dry, persistent cough due to increased levels of bradykinin. This effect is common and important for clients to be aware of. Bradycardia (B) is not a typical side effect of ACE inhibitors. Hypokalemia (C) can occur but is not a direct side effect. Weight gain (D) is not associated with ACE inhibitors. Therefore, A is the correct choice.
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 it leaks into the surrounding tissue. By monitoring the IV site for extravasation, nurses can prevent potential complications such as tissue damage or excessive bleeding. Antacids for digestive upset (Choice A) are not directly related to heparin administration. Monitoring signs of acute blood loss (Choice C) is important but not a priority compared to preventing extravasation. Monitoring the respiratory rate (Choice D) is also important but not as directly related to heparin administration as monitoring the IV site for extravasation.
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 leading to increased risk of bleeding due to both drugs affecting blood clotting mechanisms. Aspirin inhibits platelet aggregation while Heparin inhibits clotting factors. Choices A, B, and D do not have a significant drug-drug interaction with aspirin in terms of increased bleeding risk.
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 work by blocking an enzyme in the liver that is responsible for producing cholesterol, thereby lowering total and LDL cholesterol levels in the blood. This helps to reduce the risk of cardiovascular events such as heart attacks and strokes. Choice A is incorrect as statins do not directly thin the blood. Choice C is incorrect as statins do not break up existing plaques in the arteries. Choice D is incorrect as statins do not destabilize cholesterol plaques.