ATI LPN
Cardiovascular NCLEX Questions with Rationale Questions
Question 1 of 5
What finding suggests digoxin toxicity?
Correct Answer: C
Rationale: Nausea, vomiting, and visual disturbances are classic signs of digoxin toxicity.
Question 2 of 5
A healthy but obese 55 year old African-American male has a fasting glucose of 150 mg/dl and an A1c of 7% at his yearly office visit. He is told he has type 2 diabetes mellitus. He is given a referral to see the dietitian and start diabetes education classes. Liver and kidney function tests are normal. He is given a prescription for a glucose monitor. The best next step is:
Correct Answer: B
Rationale: Metformin is the first-line treatment for type 2 diabetes due to its efficacy and low risk of hypoglycemia.
Question 3 of 5
Patient presents with symptomatic CAD and is found to have LAD disease. Which treatment improves survival?
Correct Answer: D
Rationale: For symptomatic CAD with LAD disease, CABG has a class IIb indication to improve survival, particularly when considering less severe cases not meeting class I criteria.
Question 4 of 5
57 y/o male is admitted with acute cholecystitis due to cholelithiasis and undergoes an uneventful laparoscopic cholecystectomy. He is discharged the next day but returns to the ER 2 days later due to abdominal pain, distension, and fever. Abdominal CT is only positive for moderate ascites. Paracentesis reveals 50 PMNs and bilious fluid. What is the most likely diagnosis?
Correct Answer: C
Rationale: Bile leak is a known complication of cholecystectomy, leading to bilious ascites and peritonitis symptoms like pain and fever.
Question 5 of 5
Which of the following is not known to predispose to the risk of developing transitional cell carcinoma of the bladder?
Correct Answer: D
Rationale: Schistosoma hematobium is associated with squamous cell carcinoma rather than transitional cell carcinoma of the bladder.