ATI RN
ANCC Cardiovascular Certification Practice Questions Questions
Question 1 of 5
The nurse is instructing the client on the taking of aspirin. What would be part of that instruction?
Correct Answer: C
Rationale: The correct answer is C: Discard any aspirin that smells like vinegar. This instruction is important as it indicates that the aspirin may have degraded and is no longer effective or safe for use. Taking expired medication can be harmful. Explanation of why other choices are incorrect: A: Taking aspirin on an empty stomach can increase the risk of stomach irritation and ulcers. B: Warfarin and aspirin should not be taken together without medical supervision as they both increase the risk of bleeding. D: Aspirin is contraindicated in hemophiliacs as it further increases the risk of bleeding.
Question 2 of 5
T 1 O2 sat 99 percent. Which number represents the client’s systolic blood pressure?
Correct Answer: B
Rationale: The correct answer is B (120) because the normal systolic blood pressure range is around 90-120 mmHg. A systolic blood pressure of 120 is within the normal range, indicating adequate perfusion to maintain an oxygen saturation level of 99 percent. Choices A, C, and D are incorrect because they are not within the normal systolic blood pressure range and would not be expected to maintain a high oxygen saturation level. Option A (16) is too low, option C (60) is also low for a systolic blood pressure, and option D (99) is close but still on the lower end of the normal range.
Question 3 of 5
The client has paroxysmal supraventricular tachycardia. What are some causes of this? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Stimulants. Paroxysmal supraventricular tachycardia (PSVT) is often caused by triggers like caffeine, nicotine, or illegal drugs that stimulate the heart's electrical system. Stress (A) can exacerbate PSVT but not directly cause it. Hypotension (B) and hypertension (D) are related to blood pressure and not primary causes of PSVT.
Question 4 of 5
The client is preparing to have a cardiac stress test. What does the nurse tell the client to do in order to have the test?
Correct Answer: C
Rationale: The correct answer is C: The client will run on a treadmill. During a cardiac stress test, the client is required to exercise on a treadmill to increase the heart rate and monitor the heart's response to physical activity. This helps in diagnosing heart conditions such as coronary artery disease. Choice A is incorrect as the client needs to be physically active during the test. Choice B is incorrect as the EKG is typically done before and during the test, not after. Choice D is incorrect as the test involves continuous exercise and monitoring, not a momentary pain.
Question 5 of 5
The nurse suspects that the patient with stable angina is experiencing a side effect of the prescribed drug metoprolol (Lopressor) if the
Correct Answer: B
Rationale: The correct answer is B because low blood pressure (90/54 mm Hg) is a known side effect of metoprolol. Metoprolol is a beta-blocker that can cause hypotension. Restlessness, agitation, and anxiety are not typical side effects of metoprolol. A normal sinus rhythm on the heart monitor does not indicate a side effect of metoprolol. Low blood pressure is a common side effect of metoprolol due to its beta-blocking effects on the heart and blood vessels, leading to decreased cardiac output and vasodilation.