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 used to treat hypertension by dilating blood vessels and reducing blood pressure. This drug works by blocking the production of angiotensin II, a hormone that constricts blood vessels. Therefore, it is an effective treatment for managing high blood pressure. Choice A (Frequent PVCs) and choice B (Atrial flutter) are incorrect because ACE inhibitors are not typically used to treat these conditions. Choice D (Diabetic nephropathy) is also incorrect as while ACE inhibitors are sometimes used to manage diabetic nephropathy due to their ability to protect the kidneys, it is not the primary reason for prescribing this medication in most cases.
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 an anticoagulant that can lead to tinnitus as a side effect due to its impact on blood clotting. Pradaxa (A) and Heparin (C) are also anticoagulants but are less likely to cause tinnitus. Aspirin (B) is an antiplatelet drug and is not typically associated with tinnitus. Therefore, considering the client is on a blood thinner and experiencing tinnitus, Warfarin is the most likely culprit.
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: It should be taken at night. Simvastatin is more effective when taken at night because cholesterol synthesis peaks during the night. Taking it at night aligns with the body's natural rhythm and enhances its efficacy. Choice B is incorrect because there is no known interaction between simvastatin and orange juice. Choice C is incorrect because simvastatin can be taken with or without food, so an empty stomach is not necessary. Choice D is incorrect because there is no significant interaction 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 Lanoxin levels, leading to toxicity due to shared metabolic pathways. Lasix (A), Inderal (C), and Dyazide (D) do not have significant drug interactions with quinidine. Lasix is a diuretic, Inderal is a beta-blocker, and Dyazide is a combination diuretic, so they do not interact with quinidine in the same way as Lanoxin.
Question 5 of 5
The client has symptomatic sinus bradycardia. Which is the drug of choice to treat this condition?
Correct Answer: D
Rationale: Sinus bradycardia is a condition characterized by a slow heart rate. Atropine is the drug of choice as it acts as a muscarinic antagonist, increasing heart rate by blocking vagal stimulation. Quinidine, Adenosine, and Procainamide are not indicated for sinus bradycardia. Quinidine is an antiarrhythmic for atrial arrhythmias, Adenosine is for supraventricular tachycardia, and Procainamide is for ventricular arrhythmias.