ATI RN
Cardiovascular System Exam Questions Questions
Question 1 of 5
The client on amiodarone reports shortness of breath. What is the nurse's best response?
Correct Answer: A
Rationale: The correct answer is A: Notify the healthcare provider immediately. Shortness of breath in a client on amiodarone can indicate a serious side effect such as pulmonary toxicity or interstitial lung disease. The nurse should prioritize the client's safety by promptly informing the healthcare provider for further evaluation and management. This is crucial to prevent potential harm or worsening of the condition. Summary: - Choice B is incorrect because shortness of breath with amiodarone is not a common side effect to be reassured about. - Choice C is incorrect as monitoring symptoms at home may delay necessary medical intervention. - Choice D is incorrect as reducing physical activity does not address the potential serious side effect of amiodarone.
Question 2 of 5
The client is on nitroglycerin and reports chest pain. What is the nurse's priority action?
Correct Answer: D
Rationale: The correct answer is D: Notify the healthcare provider immediately. When a client on nitroglycerin reports chest pain, it could indicate a worsening condition or potential myocardial infarction. The nurse's priority is to notify the healthcare provider promptly for further assessment and intervention. Administering nitroglycerin (choice A) may not address the underlying cause of the chest pain. Administering morphine (choice B) may mask symptoms and delay appropriate treatment. Administering aspirin (choice C) is important in chest pain management but does not take priority over notifying the healthcare provider for further evaluation and guidance.
Question 3 of 5
The nurse is caring for a client on enalapril (Vasotec). What is the most important side effect to monitor?
Correct Answer: A
Rationale: The correct answer is A: Cough. Enalapril is an ACE inhibitor that can cause a dry, persistent cough as a common side effect. It is important to monitor for this because it can indicate a potentially serious adverse reaction called angioedema. Hyperkalemia (B) is a possible side effect of enalapril but is typically not as urgent to monitor as cough. Hypotension (C) is a common side effect but is usually monitored during the initial dose titration. Dizziness (D) is a less common side effect and is often transient. Monitoring for cough is crucial to detect and manage any potential angioedema promptly.
Question 4 of 5
The nurse determines that the treatment of heart failure has been successful when the patient experiences
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
At 9:00 pm, you admit a 63-year-old with a diagnosis of acute myocardial infarction (AMI) to the ED. The physician is considering the use of fibrinolytic therapy with tissue plasminogen activator (tPA, alteplase). Which information is most important to communicate to the physician?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.