ATI LPN
Cardiovascular Disease Questions and Answers Questions
Question 1 of 5
What side effect should the nurse monitor for in a client prescribed spironolactone for heart failure?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, which can lead to hyperkalemia.
Question 2 of 5
What is the nurse's priority action if a client receiving IV quinidine reports ringing in their ears and visual disturbances?
Correct Answer: B
Rationale: Ringing in the ears and visual disturbances may indicate quinidine toxicity.
Question 3 of 5
Treatment of the above patient with hypercalcemia might best include:
Correct Answer: D
Rationale: Surgery is indicated in patients with symptomatic hypercalcemia, worsening renal function, or low bone density. The other options may help manage symptoms but do not address the underlying issue.
Question 4 of 5
A 36 y/o fem le presents with an 8 week history of recurrent watery, non-bloody diarrhea. Routine lab, endoscopic, and infectious evaluation thus far have not revealed a diagnosis. Which of the follow suggest a secretory diarrheal etiology?
Correct Answer: C
Rationale: Secretory diarrhea (e.g., from toxins or hormones) has a low stool osmotic gap (<50 mOsm/kg) because it's driven by active secretion, not unabsorbed solutes. Osmotic diarrhea (e.g., malabsorption) has a higher gap (>125 mOsm/kg).
Question 5 of 5
A 55-year-old female presents with palpitations and lightheadedness. Her ECG shows a regular narrow-complex tachycardia at a rate of 180 bpm. What is the first-line treatment?
Correct Answer: A
Rationale: Adenosine is the first-line treatment for supraventricular tachycardia due to its ability to transiently block AV nodal conduction.