ATI RN
Med Surg Cardiovascular Test Bank Questions
Question 1 of 5
The client is taking an ACE inhibitor. For what reason might the client be taking this drug? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Hypertension. ACE inhibitors are commonly prescribed to treat hypertension by blocking the conversion of angiotensin I to angiotensin II, resulting in vasodilation and decreased blood pressure. Explanation for other choices: A: Frequent PVCs - ACE inhibitors are not typically used to treat PVCs as they are more related to cardiac arrhythmias. B: Atrial flutter - ACE inhibitors are not the first-line treatment for atrial flutter, which is usually managed with antiarrhythmic medications or cardioversion. D: Diabetic nephropathy - While ACE inhibitors can be used to treat diabetic nephropathy by reducing intraglomerular pressure, it is not the primary indication for their use in this scenario.
Question 2 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 known to cause tinnitus as a side effect due to its anticoagulant properties affecting blood flow in the inner ear. Pradaxa (A) is less likely to cause tinnitus. Aspirin (B) can cause tinnitus but is not a blood thinner. Heparin (C) is not associated with tinnitus. In summary, Warfarin is the likely drug causing tinnitus due to its anticoagulant effects on inner ear blood flow.
Question 3 of 5
The client is to start taking simvastatin for cholesterol reduction. What does the nurse say to educate the client about the drug?
Correct Answer: A
Rationale: The correct answer is A because simvastatin is more effective when taken at night, as cholesterol synthesis peaks in the early hours of the morning. This timing aligns with the drug's mechanism of action. Choice B is incorrect because simvastatin can be taken with any beverage, including orange juice. Choice C is incorrect because simvastatin can be taken with or without food. Choice D is incorrect because there are no interactions between simvastatin and aspirin.
Question 4 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 the levels of Lanoxin (digoxin) in the bloodstream by inhibiting its clearance, leading to potential toxicity. Lasix (A) does not have a significant drug interaction with quinidine. Inderal (C) may interact with quinidine, but it is less common compared to Lanoxin. Dyazide (D) is a combination of hydrochlorothiazide and triamterene, which does not have a significant interaction with quinidine.
Question 5 of 5
The client has symptomatic sinus bradycardia. Which is the drug of choice to treat this condition?
Correct Answer: D
Rationale: Step 1: Sinus bradycardia is a condition characterized by a slow heart rate. Step 2: Atropine is the drug of choice for symptomatic sinus bradycardia as it blocks the parasympathetic stimulation, increasing heart rate. Step 3: Quinidine, Adenosine, and Procainamide are not appropriate for treating sinus bradycardia. Summary: Atropine increases heart rate by blocking parasympathetic stimulation, making it the ideal choice for symptomatic sinus bradycardia. Quinidine, Adenosine, and Procainamide are not indicated for this condition.