ATI LPN
Cardiovascular Disease NCLEX Questions Questions
Question 1 of 5
What condition in the client's history would require the nurse to question a prescription for propranolol for a dysrhythmia?
Correct Answer: B
Rationale: Propranolol is a non-selective beta-blocker and can exacerbate bronchoconstriction in clients with COPD.
Question 2 of 5
A 52 y/o female who has GERD for the past 10 yrs, requiring standard PPI daily, has been inquiring about lifestyle modifications. Which of the following changes have been shown to improve gastroesophageal reflux disease?
Correct Answer: C
Rationale: Elevation of the head of the bed reduces nighttime reflux by using gravity to prevent acid backflow, a well-established lifestyle modification for GERD. Other options may help but lack consistent evidence as primary interventions.
Question 3 of 5
A 45-year-old female presents with fatigue and dyspnea. Her echocardiogram shows a reduced ejection fraction of 30%. Which medication is most appropriate to improve survival?
Correct Answer: B
Rationale: ACE inhibitors like lisinopril improve survival in patients with heart failure by reducing afterload and improving cardiac remodeling.
Question 4 of 5
28 yo female has a throbbing, one-sided headache three times a month. It occurs suddenly, persists for 2 days. This is what type of headache?
Correct Answer: B
Rationale: The headache described fits the pattern of a migraine without aura, characterized by unilateral, throbbing pain lasting between 4 hours and 3 days.
Question 5 of 5
All the following are false in thrombocytopenia except:
Correct Answer: B
Rationale: DIC diagnosis involves low platelets and fibrinogen due to consumption. HIT can occur with heparinoids (A is false), TTP is diagnosed clinically (C is false), and transfusions below 20,000 depend on bleeding risk (D is false).