ATI RN
ANCC Cardiovascular Certification Practice Questions Questions
Question 1 of 5
The client is taking an ACE inhibitor. What is a contraindication to taking this drug?
Correct Answer: C
Rationale: The correct answer is C: Renal artery stenosis. ACE inhibitors can cause a decrease in renal blood flow, potentially worsening renal function in patients with renal artery stenosis. This is a contraindication because it can lead to further renal damage and potentially acute renal failure. Hypertension (Choice A) is actually an indication for ACE inhibitors as they help lower blood pressure. Bronchospasm (Choice B) is not a contraindication for ACE inhibitors. Heart failure (Choice D) is also not a contraindication, as ACE inhibitors are commonly used to treat heart failure by reducing the workload on the heart.
Question 2 of 5
The nurse is instructing the client on the taking of aspirin. What would be part of that instruction?
Correct Answer: C
Rationale: Rationale: Option C is correct because aspirin should not smell like vinegar, as it indicates degradation. Degraded aspirin may be less effective or harmful. Taking aspirin on an empty stomach (A) can cause irritation, and combining it with warfarin (B) increases the risk of bleeding. Hemophiliacs (D) should avoid aspirin due to its blood-thinning properties.
Question 3 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. Statin medications are known to cause muscle-related side effects, including muscle weakness or pain, due to muscle inflammation or damage. This condition, known as myopathy, can progress to a serious condition called rhabdomyolysis. It is crucial for the nurse to warn the client about this adverse reaction to ensure prompt recognition and management. Summary of other choices: B: Constipation - Not a common adverse reaction of statin medications. C: Diarrhea - Not a common adverse reaction of statin medications. D: Dizziness - Dizziness is not a common adverse reaction of statin medications.
Question 4 of 5
T 1 O2 sat 99 percent. Which number represents the client’s systolic blood pressure?
Correct Answer: B
Rationale: The correct answer is B (120) as a normal systolic blood pressure range is around 90-120 mmHg. A reading of 99% oxygen saturation indicates good oxygen levels, not blood pressure. Choices A (16) and C (60) are too low for a typical systolic blood pressure. Choice D (99) is close but is the O2 saturation, not blood pressure.
Question 5 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 can be caused by stimulants like caffeine, nicotine, or certain medications that increase heart rate. Stress (choice A) can trigger palpitations but is not a direct cause of PSVT. Hypotension (choice B) and hypertension (choice D) are related to blood pressure and not typically direct causes of PSVT. In summary, stimulants directly increase heart rate and can trigger PSVT, making them the correct choice.