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: It should be taken at night. Simvastatin is more effective when taken at night because cholesterol synthesis peaks during the night. Taking it at night aligns with the body's natural rhythm and enhances its efficacy. Choice B is incorrect because there is no known interaction between simvastatin and orange juice. Choice C is incorrect because simvastatin can be taken with or without food, so an empty stomach is not necessary. Choice D is incorrect because there is no significant interaction 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: Sinus bradycardia is a condition characterized by a slow heart rate. Atropine is the drug of choice as it acts as a muscarinic antagonist, increasing heart rate by blocking vagal stimulation. Quinidine, Adenosine, and Procainamide are not indicated for sinus bradycardia. Quinidine is an antiarrhythmic for atrial arrhythmias, Adenosine is for supraventricular tachycardia, and Procainamide is for ventricular arrhythmias.
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 because moving during an EKG can lead to inaccurate results. By instructing the client to remain still, the nurse ensures the test is conducted accurately. Choice A is incorrect because EKG is a painless procedure. Choice C is incorrect as it is not the priority concern during the test. 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 protein released into the bloodstream when there is damage to the heart muscle, such as during an AMI. It is the most specific and sensitive marker for diagnosing AMI. Myoglobin is not as specific to the heart and can be elevated in other conditions. Homocysteine is not a marker for acute myocardial infarction. C-reactive protein is a marker of inflammation and is not specific to AMI. Therefore, monitoring cardiac-specific troponin levels is the best indicator of whether the patient has had an 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: Step 1: Identify the key issue - patient is nervous about heart. Step 2: Analyze options - B is directly related to patient's anxiety. Step 3: B is appropriate as it addresses patient's emotional response to MI. Step 4: A is incorrect as weakness is not mentioned as a concern. Step 5: C is incorrect as denial is not explicitly stated. Step 6: D is incorrect as body image is not the main focus.