ATI RN
ANCC Cardiovascular Certification Practice Questions Questions
Question 1 of 5
The client is taking Flecainide for arrhythmias. What type of anti- arrhythmic medication is this:
Correct Answer: D
Rationale: The correct answer is D: Class IC. Flecainide belongs to Class IC anti-arrhythmic medications, which work by blocking sodium channels in the heart, slowing down the conduction of electrical impulses. This helps stabilize the heart's rhythm. Class IB medications (Choice A) work by blocking sodium channels as well, but they do not slow conduction as much as Class IC. Class II medications (Choice B) are beta blockers and do not directly affect sodium channels. Choice C is a duplicate of Choice A, which is incorrect.
Question 2 of 5
The client has had heparin-induced thrombocytopenia. How is this treated?
Correct Answer: D
Rationale: Correct Answer: D - Give lepirudin Rationale: 1. Heparin-induced thrombocytopenia (HIT) is a condition where heparin causes a decrease in platelet count. 2. Lepirudin is a direct thrombin inhibitor used to treat HIT by preventing thrombin formation. 3. Clotting factors (A) are not indicated as HIT involves excessive clotting, not clotting factor deficiency. 4. Vitamin K (B) and warfarin (C) are used to treat other conditions like Vitamin K deficiency and as an oral anticoagulant, not HIT.
Question 3 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 4 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 5 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.