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: The correct answer is B because after a sudden cardiac death (SCD) event without evidence of an acute myocardial infarction (AMI), additional diagnostic testing is needed to determine the underlying cause and assess the risk of recurrence. This testing may include cardiac imaging, electrophysiological studies, and genetic testing. By identifying the specific cause, healthcare providers can tailor treatment plans to prevent future SCD events. A: This is incorrect because the risk of SCD recurrence can vary based on the underlying cause and individual patient factors. C: Long-term anticoagulation therapy is not typically indicated for SCD without evidence of AMI unless there is a specific indication such as atrial fibrillation or a clotting disorder. D: Limiting physical activity alone is not a comprehensive strategy for preventing future SCD events; individualized recommendations should be based on diagnostic findings.
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. 1. Aspirin helps to inhibit platelet aggregation. 2. Oxygen aids in improving oxygenation. 3. Nitroglycerin dilates coronary arteries, reducing cardiac workload. 4. Morphine helps in relieving pain and reducing anxiety. Summary: - Choice B: Codeine is not indicated for acute coronary syndrome. - Choice C: Meperidine is not recommended due to its adverse effects. - Choice D: Nitroprusside is not typically used in the initial treatment of acute coronary syndrome.
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: ACE inhibitors are commonly prescribed for hypertension as they help relax blood vessels, lowering blood pressure. Step 2: Antilipemics are for lowering cholesterol, not blood pressure. Step 3: Antibiotics are for infections, not hypertension. Step 4: Antidiabetics are for managing blood sugar levels, not blood pressure. Summary: Choice C is correct as ACE inhibitors are specifically used to manage hypertension by lowering blood pressure. Choices A, B, and D are incorrect as they are used for different purposes unrelated to 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 because echocardiography does not usually require dye injection. Step 1: Echocardiography uses ultrasound waves to create images of the heart; dye is not typically needed. Step 2: Choice A is correct because IV catheter insertion is not part of echocardiography. Step 3: Choice C is incorrect as fasting is usually required before echocardiography to ensure clear images. Step 4: Choice D is correct as positioning and breathing instructions are commonly provided during echocardiography. In summary, the need for dye injection in echocardiography is uncommon, making choice B the correct answer.
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 with dressings and irrigation. This assignment is suitable for an LPN due to their skill level in wound care. Choice B is incorrect because a client being observed for a myocardial infarction requires close monitoring by an RN. Choice C is incorrect because a client being discharged soon requires coordination and paperwork, which is typically done by an RN. Choice D is incorrect because a client scheduled for a PTCA procedure requires pre-procedure assessments and care typically done by an RN. Thus, choice A is the best option for an LPN assignment.