ATI LPN
Cardiovascular Disease NCLEX Questions Questions
Question 1 of 5
What is the nurse's next action if a patient on digoxin reports blurred vision and yellow halos?
Correct Answer: B
Rationale: Visual disturbances, including yellow halos, are classic signs of digoxin toxicity and require immediate evaluation.
Question 2 of 5
A 58 yo female with history of type II diabetes, smoker, remote history of NSTEMI and stenting of circumflex artery, presents to the ER with 24 hrs of intermittent chest pain. The initial EKG demonstrates ST depression in the inferior leads. Her symptoms resolve readily with conservative medical therapy and she is hemodynamically stable. A repeat EKG demonstrates resolution of ST changes and the patient feels well. Serial cardiac enzymes are mildly increased (troponinI= 0.03, 0.60, 0.90). The best approach to this patient is?
Correct Answer: B
Rationale: The correct answer is an invasive approach because the patient has a known history of coronary artery disease and presented with chest pain and elevated troponins, indicating unstable angina or non-ST elevation MI. Cardiac catheterization helps determine the need for revascularization.
Question 3 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 4 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 5 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.