ATI RN
Cardiovascular Test Bank Questions
Question 1 of 5
When caring for a patient who is recovering from a sudden cardiac death (SCD) event and has no evidence of an acute myocardial infarction (AMI), the nurse will anticipate teaching the patient that
Correct Answer: B
Rationale: Step 1: Sudden cardiac death (SCD) indicates a serious underlying heart condition. Step 2: Absence of acute myocardial infarction (AMI) suggests other causes need investigation. Step 3: Additional diagnostic testing can identify underlying causes to prevent future events. Step 4: Teaching the patient about the need for further testing is crucial for proper management. Summary: Option B is correct as it aligns with the need for comprehensive evaluation post-SCD. Options A, C, and D are incorrect as they do not address the necessity of additional testing for proper management.
Question 2 of 5
A client complains of crushing chest pain that radiates to his left arm. He should be presented with the following treatment:
Correct Answer: A
Rationale: The correct answer is A: Aspirin, oxygen, nitroglycerin, and morphine. This combination is recommended for a client with suspected acute coronary syndrome. Aspirin helps reduce blood clot formation, oxygen aids in oxygenation, nitroglycerin dilates blood vessels to improve blood flow, and morphine helps alleviate pain and reduce anxiety. Choice B is incorrect because codeine is not recommended due to potential respiratory depression. Choice C is incorrect because meperidine is not the preferred analgesic in this situation, and thrombolytics are not indicated unless there is confirmed ST-segment elevation myocardial infarction. Choice D is incorrect because nitroprusside is not typically used in this scenario.
Question 3 of 5
A client comes to the clinic and states he has a history of hypertension. Which type of medication might the nurse expect the client to be taking to control his blood pressure?
Correct Answer: C
Rationale: Step 1: Hypertension is high blood pressure. Step 2: ACE inhibitors are commonly prescribed to control blood pressure. Step 3: ACE inhibitors work by relaxing blood vessels, reducing blood pressure. Step 4: Antilipemics lower cholesterol, not blood pressure. Step 5: Antibiotics treat infections, not hypertension. Step 6: Antidiabetics manage blood sugar levels, not blood pressure. Summary: ACE inhibitors are the correct choice as they specifically target blood pressure regulation, while the other options do not address hypertension.
Question 4 of 5
A child is scheduled for echocardiography. The nurse is providing teaching to the child's mother. Which statement by the mother about echocardiography indicates the need for further teaching?
Correct Answer: B
Rationale: The correct answer is B. Echocardiography does not typically require dye injection. This is known as a non-invasive imaging technique. Choice A is correct because an IV catheter is not usually needed for this procedure. Choice C is incorrect as fasting before the test is common practice to ensure accurate results. Choice D is correct as lying on the left side and breathing slowly helps with image quality. Therefore, choice B is the most appropriate answer as it reflects a misunderstanding of the procedure.
Question 5 of 5
The registered nurse has finished reviewing the 7:00 a.m shift report on a telemetry unit. Which of the following clients would be the best for the RN to assign to the licensed practical nurse?
Correct Answer: A
Rationale: The correct answer is A because the 7-day postoperative CABG client with an infection in the sternal surgical incision requires ongoing wound care, dressings, and irrigation, which are within the scope of practice for a licensed practical nurse. Choice B is incorrect because a client who has just arrived from the emergency room for observation to rule out a myocardial infarction may require immediate assessment and interventions beyond the scope of a licensed practical nurse. Choice C is incorrect because a client who has had successful valve replacement therapy and will be discharged this morning may require coordination of care, discharge teaching, and documentation, which are typically the responsibilities of a registered nurse. Choice D is incorrect because a client scheduled for a percutaneous transluminal coronary angioplasty at 10:00 a.m may require pre-procedure preparations, monitoring, and post-procedure care that are best handled by a registered nurse.