ATI RN
ANCC Cardiovascular Certification Practice Questions Questions
Question 1 of 5
The client is taking a statin medication. What common adverse reaction should the nurse warn the client about?
Correct Answer: A
Rationale: The correct answer is A: Muscle weakness. Statins are known to cause myopathy, leading to muscle weakness and pain. This adverse reaction can progress to rhabdomyolysis, a serious condition. Constipation (B), diarrhea (C), and dizziness (D) are not commonly associated with statin use. It is crucial for the nurse to educate the client about the potential risk of muscle weakness and the importance of reporting any symptoms to their healthcare provider promptly.
Question 2 of 5
The client has paroxysmal supraventricular tachycardia. What are some causes of this? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Stimulants. Paroxysmal supraventricular tachycardia (PSVT) is often caused by triggers like caffeine, nicotine, or illegal drugs that stimulate the heart's electrical system. Stress (A) can exacerbate PSVT but not directly cause it. Hypotension (B) and hypertension (D) are related to blood pressure and not primary causes of PSVT.
Question 3 of 5
The client is preparing to have a cardiac stress test. What does the nurse tell the client to do in order to have the test?
Correct Answer: C
Rationale: The correct answer is C: The client will run on a treadmill. During a cardiac stress test, the client is required to exercise on a treadmill to increase the heart rate and monitor the heart's response to physical activity. This helps in diagnosing heart conditions such as coronary artery disease. Choice A is incorrect as the client needs to be physically active during the test. Choice B is incorrect as the EKG is typically done before and during the test, not after. Choice D is incorrect as the test involves continuous exercise and monitoring, not a momentary pain.
Question 4 of 5
The nurse suspects that the patient with stable angina is experiencing a side effect of the prescribed drug metoprolol (Lopressor) if the
Correct Answer: B
Rationale: The correct answer is B because low blood pressure (90/54 mm Hg) is a known side effect of metoprolol. Metoprolol is a beta-blocker that can cause hypotension. Restlessness, agitation, and anxiety are not typical side effects of metoprolol. A normal sinus rhythm on the heart monitor does not indicate a side effect of metoprolol. Low blood pressure is a common side effect of metoprolol due to its beta-blocking effects on the heart and blood vessels, leading to decreased cardiac output and vasodilation.
Question 5 of 5
A few days after experiencing a myocardial infarction (MI) and successful percutaneous coronary intervention, the patient states, “It was just a little chest pain. As soon as I get out of here, I’m going for my vacation as planned.” Which reply would be most appropriate for the nurse to make?
Correct Answer: C
Rationale: Rationale: Choice C is correct because it addresses the patient's perception and gently introduces the idea that plans may need to change post-MI. It acknowledges the patient's experience while subtly hinting at the importance of considering adjustments for health reasons. Summary of Incorrect Choices: A: This choice focuses on the cause of chest pain, which is not the immediate concern post-MI. B: While discussing vacation plans is relevant, it does not address the patient's potentially unrealistic expectations. D: While recovery time is important, stating a specific timeline may not be necessary or applicable to every patient's situation.