ATI RN
ANCC Cardiovascular Certification Practice Questions Questions
Question 1 of 5
The nurse would assess for which of the following manifestations in a client with suspected arterial embolism to the left hand? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Pain. Arterial embolism to the left hand can lead to ischemia, causing severe pain due to inadequate blood flow. This pain is typically described as sudden and severe. Pale skin (B) is a sign of inadequate blood supply but may not be specific to arterial embolism. Bounding radial pulse (C) is unlikely in arterial embolism as it obstructs blood flow. Parasthesias (D) may occur due to nerve compression, but pain is a more prominent symptom in arterial embolism.
Question 2 of 5
If a hypertensive client with asthma takes the maximal dose of his diuretic and his blood pressure still isn't controlled, the nurse understands the next step in controlling his hypertension would be to:
Correct Answer: A
Rationale: Step 1: Enalapril is an ACE inhibitor that helps lower blood pressure by blocking the production of angiotensin II, a potent vasoconstrictor. Step 2: Adding enalapril would be the appropriate next step as it provides an additional mechanism of action to control hypertension. Step 3: Changing to a beta blocker (B) or adding another diuretic (C) may not address the underlying cause of the uncontrolled hypertension. Step 4: Increasing the drug dosage above recommended levels (D) can lead to adverse effects without necessarily improving blood pressure control.
Question 3 of 5
A second 12 lead ECG performed on a patient 4 hours after the onset of chest pain reveals ST segment elevation. The nurse recognizes that this finding indicates
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
To prevent arterial trauma during the use of the IABP, the nurse should
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A patient with atrial fibrillation is ambulating in the hallway on the coronary step-down unit and suddenly tells you, 'I feel really dizzy.' Which action should you take first?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.