ATI RN
ATI Cardiovascular Test Bank Questions
Question 1 of 5
The client is taking gemfibrozil. What contraindication to taking the drug should the nurse tell the client about?
Correct Answer: C
Rationale: The correct answer is C: Active gallbladder disease. Gemfibrozil can exacerbate gallbladder disease by increasing the risk of gallstones. This can lead to complications such as cholecystitis. Therefore, clients with active gallbladder disease should be cautious when taking gemfibrozil. A: History of MI - This is not a contraindication for gemfibrozil. In fact, gemfibrozil can be beneficial for clients with a history of MI by helping to lower triglyceride levels and reduce the risk of cardiovascular events. B: History of elevated triglyceride levels - This is not a contraindication for gemfibrozil. In fact, gemfibrozil is indicated for the treatment of elevated triglyceride levels. D: Taking aspirin with gemfibrozil - While there can be interactions between aspirin and gemfibrozil, it is not a contraindication. Clients may need to be monitored for
Question 2 of 5
The client has a heart rate of 70, a slightly irregular rhythm and P waves that come in multiples. What is this rhythm called?
Correct Answer: C
Rationale: The correct answer is C: Type 1 second degree AV block. This rhythm is characterized by a slightly irregular rhythm and P waves that come in multiples, known as "grouped beating." In Type 1 AV block, there is a progressive lengthening of the PR interval until a QRS complex is dropped. This is consistent with the description provided in the question. A: Third degree AV block is characterized by complete dissociation between the atria and ventricles, resulting in an atrial rate that is typically faster than the ventricular rate. This is not the case in the scenario described. B: Type 2 second degree AV block is characterized by intermittent failure of conduction of P waves to the ventricles, resulting in dropped QRS complexes. This is not consistent with the description provided. D: Junctional escape rhythm is characterized by an escape rhythm originating from the AV junction, resulting in a heart rate of 40-60 bpm. This is not the rhythm described
Question 3 of 5
Which information from a patient helps the nurse confirm the previous diagnosis of chronic stable angina?
Correct Answer: D
Rationale: The correct answer is D because the fact that the pain goes away after taking a nitroglycerin tablet is a classic characteristic of chronic stable angina. Nitroglycerin is a vasodilator that helps relieve angina by increasing blood flow to the heart. This response is specific to angina and indicates that the pain is likely due to coronary artery disease. A: "The pain wakes me up at night" is not specific to angina and could indicate other issues like gastroesophageal reflux disease. B: "The pain is level 3 to 5" is subjective and doesn't provide diagnostic value for angina. C: "The pain has gotten worse over the last week" may suggest a change in condition but doesn't confirm the diagnosis of chronic stable angina.
Question 4 of 5
After an acute myocardial infarction (AMI), a patient ambulates in the hospital hallway. When the nurse evaluates the patient’s response to the activity, which data would indicate that the exercise level should be decreased?
Correct Answer: B
Rationale: The correct answer is B: Heart rate increases from 66 to 98 beats/min. After an AMI, an increase in heart rate during ambulation may indicate cardiac strain or insufficient oxygen delivery. This suggests the exercise level should be decreased to prevent further cardiac stress. A: O saturation drops from 99% to 95% - This decrease in oxygen saturation can indicate impaired gas exchange but is not a direct indicator of cardiac strain during exercise. C: Respiratory rate goes from 14 to 20 breaths/min - An increase in respiratory rate may suggest increased effort but does not specifically indicate cardiac strain. D: Blood pressure (BP) changes from 118/60 to 126/68 mm Hg - This change in BP is within a normal range and does not directly signal a need to decrease exercise level.
Question 5 of 5
A patient who has recently started taking pravastatin (Pravachol) and niacin reports several symptoms to the nurse. Which information is most important to communicate to the health care provider?
Correct Answer: A
Rationale: The correct answer is A: Generalized muscle aches and pains. This is important to communicate because it could indicate a serious side effect called rhabdomyolysis, a rare but serious condition where muscle breakdown releases toxic substances into the bloodstream. This can lead to kidney damage and other complications. B: Dizziness with rapid position changes is a common side effect of niacin and usually not as concerning as muscle aches. C: Nausea when taking the drugs before meals is a common side effect of niacin and can often be managed by taking the medication with food. D: Flushing and pruritus after taking the drugs are common side effects of niacin and not as serious as muscle aches.