ATI LPN
Cardiovascular Nursing Questions Questions
Question 1 of 5
What are the major criteria in the updated Jones Criteria for Rheumatic Fever?
Correct Answer: B
Rationale: The updated Jones Criteria for diagnosing Rheumatic Fever include major manifestations like arthritis, carditis, erythema marginatum, subcutaneous nodules, and Sydenham chorea. Option B correctly lists four of these.
Question 2 of 5
Which of the following is a correct statement about educating the patient with heart failure?
Correct Answer: C
Rationale: All listed options (A-D) are correct, but since this must be a single-answer question, C is a key dietary recommendation. Patients should monitor weight (A), get vaccinated (B), and manage exacerbations (D).
Question 3 of 5
A patient with a history of hypertension treated with a diuretic and an angiotensin-converting enzyme(ACE) inhibitor arrives in the emergency department. The patient reports a severe headache and nausea and has a blood pressure(BP) of 238/118 mm Hg. Which question should the nurse ask to follow up on these findings?
Correct Answer: B
Rationale: Sudden withdrawal of antihypertensive medications can cause rebound hypertension and hypertensive crisis. Although many over-the-counter medications can cause hypertension, antihistamines and acetaminophen do not increase BP. Stressful events will increase BP but not usually to the level seen in this patient.
Question 4 of 5
Which action should the nurse take when administering the initial dose of oral labetalol (Normodyne) to a patient with hypertension?
Correct Answer: C
Rationale: Labetalol decreases sympathetic nervous system activity by blocking both α- and b-adrenergic receptors, leading to vasodilation and a decrease in heart rate, which can cause severe orthostatic hypotension. Heart palpitations, dry mouth, dehydration, and headaches are possible side effects of other antihypertensives.
Question 5 of 5
A nurse is performing blood pressure screenings at a local health fair. While obtaining subjective assessment data from a patient with hypertension, the nurse learns that the patient has a family history of hypertension and she herself has high cholesterol and lipid levels. The patient says she smokes one pack of cigarettes daily and drinks 'about a pack of beer' every day. The nurse notes what nonmodifiable risk factor for hypertension?
Correct Answer: C
Rationale: Unlike cholesterol levels, alcohol intake and adherence to treatment, family history is not modifiable.