ATI LPN
Cardiovascular NCLEX Questions Questions
Question 1 of 4
The nurse is assessing a patient who has been admitted to the intensive care unit(ICU) with a hypertensive emergency. Which finding is most important to report to the health care provider?
Correct Answer: B
Rationale: The patient's inability to move the left arm and leg indicates that a hemorrhagic stroke may be occurring and will require immediate action to prevent further neurologic damage. The other clinical manifestations are also likely caused by the hypertension and will require rapid nursing actions, but they do not require action as urgently as the neurologic changes.
Question 2 of 4
Regarding ECG changes, which is CORRECT?
Correct Answer: D
Rationale: In hypercalcaemia, the increased calcium levels enhance myocardial contractility by increasing the availability of calcium during contraction.
Question 3 of 4
With regards to CSF and the blood brain barrier, which is NOT true?
Correct Answer: B
Rationale: Creatinine concentration in CSF is lower than in plasma due to the blood-brain barrier's selective permeability.
Question 4 of 4
Which combination of medicines should be prescribed to a 62-year-old woman who has just been diagnosed with hypertension. She smokes 20 cigarettes per day, her cholesterol is 4.2 mmol/L. Her blood pressure is 147/85 mmHg. Her BMI is 29. Her QRISK3 score is 12%.
Correct Answer: B
Rationale: For a 62-year-old with hypertension and a QRISK3 of 12%, a statin (atorvastatin) is indicated due to cardiovascular risk, and amlodipine is a first-line antihypertensive for those over 55. Aspirin is not routinely indicated without established CVD, and furosemide is not first-line for hypertension.