ATI LPN
Cardiovascular Med Surg Questions Questions
Question 1 of 5
When administering digoxin, the nurse should hold the medication if the client's apical heart rate is less than____ bpm.
Correct Answer: C
Rationale: Digoxin should be withheld if the apical pulse is below 60 bpm for adults.
Question 2 of 5
What is the nurse's priority action if a client receiving digoxin has lab results showing potassium 2.8 mEq/L and digoxin level 2.4 ng/mL?
Correct Answer: B
Rationale: A digoxin level of 2.4 ng/mL indicates toxicity, which combined with hypokalemia is life-threatening. Digibind is the antidote.
Question 3 of 5
A 63 y/o female presents with dysphagia. Physical examination demonstrates a goiter, irregular to palpation. A nodule is identified by thyroid ultrasound. Which of the following would make the nodule more suspicious?
Correct Answer: D
Rationale: Microcalcifications on ultrasound are highly suspicious for malignancy.
Question 4 of 5
Which of the following is found on physical exam in a patient presenting with angina?
Correct Answer: D
Rationale: Angina can present with multiple findings including a third or fourth heart sound due to ventricular dysfunction, and increased blood pressure and heart rate due to sympathetic activation, making 'all of the above' correct.
Question 5 of 5
Patient in question I is now 6 months post gastric bypass and has lost a significant amount of weight, but has been found to have significant normocytic anemia with low levels of both serum B12 and Iron. What is the most likely mechanism for the development of these deficiencies?
Correct Answer: D
Rationale: Gastric bypass surgery bypasses the duodenum and proximal jejunum, where iron and vitamin B12 are primarily absorbed, leading to deficiencies.