ATI LPN
Cardiovascular NCLEX Questions Questions
Question 1 of 5
What is the best action if a client with a history of heart failure prescribed spironolactone and lisinopril has a potassium level of 5.8 mEq/L?
Correct Answer: B
Rationale: Spironolactone and lisinopril both increase potassium levels, and a level of 5.8 mEq/L indicates hyperkalemia.
Question 2 of 5
The blood leaves the heart to the body through which chamber:
Correct Answer: C
Rationale: The left ventricle pumps oxygenated blood into the aorta, which distributes it to the body.
Question 3 of 5
A 62 year old obese female with type 2 diabetes mellitus for 12 years is on a sulfonylurea alone. Metformin ER was stopped two years ago due to diarrhea at even a low dose. A1c is 10% but she has been having frequent hypoglycemia, even after reducing the dose of the sulfonylurea. She has significant lower extremity edema and recurrent episodes of congestive heart failure. The best answer is:
Correct Answer: B
Rationale: Pioglitazone is contraindicated in patients with heart failure due to the risk of fluid retention.
Question 4 of 5
Patient presents from having sudden cardiac death with presumed ischemia mediated VT with high grade CAD. Which is best treatment to improve survival?
Correct Answer: A
Rationale: CABG is a class I B indication in this scenario as it addresses the underlying high-grade CAD causing ischemia-mediated ventricular tachycardia, improving survival post-sudden cardiac death.
Question 5 of 5
21 y/o presents to the ER with abdominal pain, fatigue, and loss of appetite. He admits to IV heroin use and drinks 2-3 beers/day. He has mild scleral icterus, tender hepatomegaly, & antecubital needle tracks. Labs: T. Bili 5.6 mg/dL, AST & ALT 950 & 1280, Alk Phos 115, Albumin 3.4 HBsAg-, HAV IgM-, HBsAb+, HCV Ab-, HBcIgM-. Which labs is most likely to make a diagnosis?
Correct Answer: B
Rationale: Given the history of IV drug use and acute hepatitis symptoms with negative serologies, HCV RNA testing is key to diagnose acute hepatitis C infection.