ATI RN
Cardiovascular Test Bank Questions
Question 1 of 5
When caring for a patient with acute coronary syndrome who has returned to the coronary care unit after having angioplasty with stent placement, the nurse obtains the following assessment data. Which data indicate the need for immediate action by the nurse?
Correct Answer: C
Rationale: The correct answer is C. Severe chest pain in a patient with acute coronary syndrome post-angioplasty indicates a potential complication like stent thrombosis or re-occlusion. Immediate action is needed to assess and manage. A: Heart rate 102 bpm may be expected post-procedure. B: Pedal pulses 1+ bilaterally may indicate decreased perfusion but not an immediate threat. D: Blood pressure 103/54 mm Hg may be low but not an immediate concern unless symptomatic.
Question 2 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 3 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 4 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.
Question 5 of 5
In providing community education on prevention of peripheral arterial disease, the nurse is careful to include which of the following as a major risk factor?
Correct Answer: D
Rationale: The correct answer is D: Cigarette smoking. Smoking is a major risk factor for peripheral arterial disease (PAD) as it can lead to the narrowing of blood vessels, reducing blood flow to the extremities. This can result in the development of PAD. Smoking cessation is crucial in preventing and managing PAD. Rationale for other choices: A: Dysrhythmias - Dysrhythmias are irregular heartbeats and are not a major risk factor for PAD. B: Low-protein intake - While poor nutrition can impact overall health, low-protein intake is not a major risk factor specifically for PAD. C: Exposure to cool weather - Cool weather exposure can exacerbate symptoms in individuals with PAD, but it is not a major risk factor for developing the condition.