ATI RN
ATI Med Surg Cardiovascular Test Bank Questions
Question 1 of 5
The nurse is caring for a 2-month-old child with transposition of the great vessels. Which of these interventions has highest priority?
Correct Answer: B
Rationale: The correct answer is B: Maintaining proper caloric intake. In a case of transposition of the great vessels, ensuring adequate nutrition is crucial for the infant's growth and development. Without proper caloric intake, the child may experience complications. Providing comfort for parents (choice A) is important but not the highest priority. Reducing stressors for the infant (choice C) is also important but not as critical as ensuring proper nutrition. Documenting vital signs (choice D) is necessary but does not address the immediate need for nutrition in this case.
Question 2 of 5
A patient has a VVIR mode pacemaker. The nurse knows that this pacemaker is characterized by which of the following?
Correct Answer: C
Rationale: The correct answer is C because in VVIR mode: 1. Ventricular pacing occurs to stimulate the ventricles. 2. Atrial sensing is present to detect the heart's natural activity. 3. Triggered response to sensing means the pacemaker responds to the heart's activity. 4. Rate modulation adjusts the pacing rate based on the body's needs. Other choices are incorrect because they either do not match the features of VVIR mode or include incorrect components like atrial pacing or ventricular sensing.
Question 3 of 5
The client is experiencing a drug-drug interaction with streptokinase and another drug. Which other drug can cause a drug-drug interaction with streptokinase?
Correct Answer: C
Rationale: Rationale: 1. Heparin interacts with streptokinase by increasing the risk of bleeding due to their combined anticoagulant effects. 2. Streptokinase can enhance the anticoagulant effects of heparin, leading to potential bleeding complications. 3. Cimetidine, theophylline, and digoxin do not directly interact with streptokinase in the same manner as heparin. Summary: - A: Cimetidine is not known to interact with streptokinase in a significant way. - B: Theophylline does not have a direct drug-drug interaction with streptokinase. - D: Digoxin does not interact with streptokinase to cause a drug-drug interaction.
Question 4 of 5
The client has an IV and is experiencing tissue necrosis at the site of the IV. What drug might be causing this?
Correct Answer: B
Rationale: The correct answer is B: An alpha agonist. Alpha agonists can cause vasoconstriction, leading to reduced blood flow to tissues and potential tissue necrosis at the IV site. Digoxin (A) affects the heart, not blood vessels. Beta blockers (C) and calcium channel blockers (D) do not typically cause tissue necrosis.
Question 5 of 5
Common side effects to anti-arrhythmic drugs include the following: Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Nausea and vomiting. Anti-arrhythmic drugs commonly cause gastrointestinal side effects like nausea and vomiting due to their impact on the digestive system. B: Hypotension is not a common side effect of anti-arrhythmic drugs. These medications are more likely to cause arrhythmias than low blood pressure. C: Pro-arrhythmic effect is a potential concern with anti-arrhythmic drugs, but not a common side effect. It refers to the drug actually causing or worsening arrhythmias. D: Constipation is not a typical side effect of anti-arrhythmic drugs. Gastrointestinal side effects like diarrhea are more common. In summary, the correct answer is A because nausea and vomiting are commonly associated with anti-arrhythmic drugs, while hypotension, pro-arrhythmic effects, and constipation are less likely side effects.