ATI RN
Cardiovascular System Exam Questions Questions
Question 1 of 5
The client is on warfarin and has an INR of 1.5. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Hold the next dose of warfarin. With an INR of 1.5, the client's blood is not adequately anticoagulated, increasing the risk of blood clots. Holding the next dose will prevent further thinning of blood and allow the INR to increase to the target range. Increasing the dose (A) could lead to over-anticoagulation, risking bleeding. Continuing the current dose (C) maintains inadequate anticoagulation. Monitoring (D) is important, but the immediate action should be to hold the next dose.
Question 2 of 5
The nurse is caring for a client on enalapril (Vasotec). What is the most important side effect to monitor?
Correct Answer: A
Rationale: The correct answer is A: Cough. Enalapril is an ACE inhibitor that can cause a dry, persistent cough as a common side effect. It is important to monitor for this because it can indicate a potentially serious adverse reaction called angioedema. Hyperkalemia (B) is a possible side effect of enalapril but is typically not as urgent to monitor as cough. Hypotension (C) is a common side effect but is usually monitored during the initial dose titration. Dizziness (D) is a less common side effect and is often transient. Monitoring for cough is crucial to detect and manage any potential angioedema promptly.
Question 3 of 5
The nurse determines that the treatment of heart failure has been successful when the patient experiences
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
At 9:00 pm, you admit a 63-year-old with a diagnosis of acute myocardial infarction (AMI) to the ED. The physician is considering the use of fibrinolytic therapy with tissue plasminogen activator (tPA, alteplase). Which information is most important to communicate to the physician?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
During a home visit to an 88-year-old patient who is taking digoxin (Lanoxin) 0.25 mg daily to help control the rate of atrial fibrillation, you obtain this assessment information. Which assessment indicates that you need to notify the physician?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.