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 lead to decreased renal blood flow, which can worsen renal artery stenosis. This can result in decreased kidney function and potentially lead to renal failure. A: Hypertension is not a contraindication to taking ACE inhibitors, as they are commonly used to treat hypertension. B: Bronchospasm is not a contraindication to taking ACE inhibitors, as they are not known to worsen bronchospasm. D: Heart failure is not a contraindication to taking ACE inhibitors, as they are commonly used to treat heart failure by reducing strain 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: The correct answer is C: Discard any aspirin that smells like vinegar. This instruction is important as it indicates that the aspirin may have degraded and is no longer effective or safe for use. Taking expired medication can be harmful. Explanation of why other choices are incorrect: A: Taking aspirin on an empty stomach can increase the risk of stomach irritation and ulcers. B: Warfarin and aspirin should not be taken together without medical supervision as they both increase the risk of bleeding. D: Aspirin is contraindicated in hemophiliacs as it further increases the risk of bleeding.
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. 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 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) because the normal systolic blood pressure range is around 90-120 mmHg. A systolic blood pressure of 120 is within the normal range, indicating adequate perfusion to maintain an oxygen saturation level of 99 percent. Choices A, C, and D are incorrect because they are not within the normal systolic blood pressure range and would not be expected to maintain a high oxygen saturation level. Option A (16) is too low, option C (60) is also low for a systolic blood pressure, and option D (99) is close but still on the lower end of the normal range.
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 (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.