ATI RN
Med-Surg Cardiovascular Practice Questions Questions
Question 1 of 9
What is a significant finding in the health history of a patient during an assessment of the cardiovascular system?
Correct Answer: A
Rationale: Metastatic cancer can directly affect cardiac function.
Question 2 of 9
Before taking hemodynamic measurements, the monitoring equipment must be referenced by
Correct Answer: B
Rationale: Referencing hemodynamic monitoring equipment means positioning the monitoring equipment so that the zero reference point is at the vertical level of the left atrium of the heart.
Question 3 of 9
To prevent postoperative pulmonary embolus, clients must be taught effective coughing. To stimulate the cough reflex, it is desirable for the patient to first take
Correct Answer: B
Rationale: Deep breathing followed by a short breath enhances cough effectiveness.
Question 4 of 9
Which of the following classifications of heart failure is defined as marked limitation of physical activity with the client being comfortable at rest, but less than ordinary activity causes fatigue, heart palpitation, or dyspnea?
Correct Answer: D
Rationale: Class III heart failure involves significant limitations in physical activity despite being comfortable at rest.
Question 5 of 9
What is the best rationale for acting quickly to restore an elderly client's heart rate from a new onset of atrial fibrillation to normal sinus rhythm?
Correct Answer: A
Rationale: Atrial fibrillation increases the risk of stroke due to potential clot formation in the heart.
Question 6 of 9
A 55-year-old patient who is diagnosed with an evolving myocardial infarction (MI) insists on going home. The cardiac-vascular nurse encourages the patient to be admitted because the greatest risk within the first 24 hours of sustaining an MI is:
Correct Answer: D
Rationale: Ventricular fibrillation is a life-threatening arrhythmia that often occurs in the first 24 hours after an MI.
Question 7 of 9
Buerger's disease characteristics.
Correct Answer: C
Rationale: Characterized by inflammation and occlusion of small and medium-sized arteries.
Question 8 of 9
Which classification of drugs used to treat hypertension prevents the action of angiotensin II and promotes increased salt and water excretion?
Correct Answer: C
Rationale: ARBs block angiotensin II receptors, reducing vasoconstriction and sodium retention.
Question 9 of 9
A patient diagnosed with CHF will need positive inotropic medication to improve the contractility of the cardiac muscle. Which of the following medications taken by this patient has a positive inotropic effect?
Correct Answer: A
Rationale: Digoxin increases the force of contraction of the heart, improving cardiac output in CHF.