ATI LPN
Cardiovascular Exam Questions Questions
Question 1 of 5
What assessment finding is most concerning in a patient with heart failure prescribed enalapril?
Correct Answer: C
Rationale: Hyperkalemia is a serious side effect of ACE inhibitors and requires immediate attention.
Question 2 of 5
A 68 y/o Caucasian female has a routine vitamin D level of 18(target range is at least 30). Typical regimens to try to replete vitamin D could include all except:
Correct Answer: A
Rationale: Excessive sunlight exposure without sunscreen increases skin cancer risk and is not a practical method for vitamin D repletion.
Question 3 of 5
58 y/o male presents with diarrhea. His evaluation is positive for Tissues Transglutaminase Ab. He underwent EGD with small bowel biopsy which was consistent with celiac disease. Colonoscopy was normal. Labs: Hgb I I (MCV 72), Ferritin I 2, Alk Phos 2-fold elevation, Normal AST/ALTI Bilirubin/ GGT. Fasting glucose I04. What additional testing would you recommend?
Correct Answer: D
Rationale: Celiac disease causes malabsorption, often leading to vitamin D deficiency, which can explain the elevated Alk Phos (bone turnover) and anemia. Checking 25-hydroxy vitamin D is recommended to assess and manage this common complication.
Question 4 of 5
A 35-year-old female presents with exertional dyspnea and fatigue. Physical examination reveals a harsh systolic murmur at the left sternal border. What is the most likely diagnosis?
Correct Answer: B
Rationale: A harsh systolic murmur at the left sternal border is characteristic of aortic stenosis.
Question 5 of 5
34 yo woman with history of a miscarriage 5 years ago presents with new right-sided hemiparesis and slurred speech for the past 2 hours Her symptoms slowly resolve while in the emergency department.
Correct Answer: D
Rationale: After a TIA, checking for both Protein C/S deficiencies and antiphospholipid antibodies is important to determine underlying hypercoagulable states.