ATI RN
Med Surg Cardiovascular Test Bank Questions
Question 1 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 because simvastatin is more effective when taken at night, as cholesterol synthesis peaks in the early hours of the morning. This timing aligns with the drug's mechanism of action. Choice B is incorrect because simvastatin can be taken with any beverage, including orange juice. Choice C is incorrect because simvastatin can be taken with or without food. Choice D is incorrect because there are no interactions between simvastatin and aspirin.
Question 2 of 5
The client has symptomatic sinus bradycardia. Which is the drug of choice to treat this condition?
Correct Answer: D
Rationale: Step 1: Sinus bradycardia is a condition characterized by a slow heart rate. Step 2: Atropine is the drug of choice for symptomatic sinus bradycardia as it blocks the parasympathetic stimulation, increasing heart rate. Step 3: Quinidine, Adenosine, and Procainamide are not appropriate for treating sinus bradycardia. Summary: Atropine increases heart rate by blocking parasympathetic stimulation, making it the ideal choice for symptomatic sinus bradycardia. Quinidine, Adenosine, and Procainamide are not indicated for this condition.
Question 3 of 5
The client is having a routine EKG. What should the nurse do as a priority intervention?
Correct Answer: B
Rationale: The correct answer is B: Tell the client to remain motionless. This is the priority intervention during an EKG to ensure accurate results. Movement can cause artifacts, leading to inaccurate readings. Choice A is incorrect as pain is not a significant concern during an EKG. Choice C is incorrect as time duration is not the priority. Choice D is incorrect as shaving the chest is not necessary for a routine EKG.
Question 4 of 5
A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute myocardial infarction (AMI). Which laboratory test should the nurse monitor to best determine whether the patient has had an AMI?
Correct Answer: D
Rationale: The correct answer is D: Cardiac-specific troponin. Troponin is a sensitive and specific marker for myocardial injury. It rises within 3-4 hours of an AMI and remains elevated for up to 2 weeks. Monitoring troponin levels helps in confirming the diagnosis of AMI. Myoglobin is less specific and elevates early but lacks specificity for cardiac damage. Homocysteine and C-reactive protein are markers for cardiovascular risk but are not specific for AMI.
Question 5 of 5
Three days after experiencing a myocardial infarction (MI), a patient who is scheduled for discharge asks for assistance with hygiene activities, saying, “I am too nervous about my heart to be alone while I get washed up.” Based on this information, which nursing diagnosis is appropriate?
Correct Answer: B
Rationale: The correct answer is B: Anxiety related to change in health status. The patient's statement indicates fear and nervousness about their heart health, which aligns with anxiety. Activity intolerance (A) is not supported as the patient is seeking assistance for hygiene, not physical activity. Denial (C) is not appropriate as the patient acknowledges their nervousness about the heart. Altered body image (D) is not relevant based on the information provided.