ATI RN
Cardiovascular Practice Questions Questions
Question 1 of 5
When developing a teaching plan for a 61-yr-old patient with multiple risk factors for coronary artery disease (CAD), the nurse should focus primarily on the
Correct Answer: B
Rationale: The correct answer is B: elevated low-density lipoprotein (LDL) level. Elevated LDL is a major risk factor for CAD, especially in older adults. Focusing on lowering LDL levels through lifestyle modifications or medications can help reduce the risk of CAD. Family history (A) is important but not modifiable. Gender (C) is a risk factor, but LDL level is more directly related to CAD risk. Aging (D) increases risk, but addressing specific risk factors like LDL level is crucial in prevention.
Question 2 of 5
A patient who is recovering from an acute myocardial infarction (AMI) asks the nurse when sexual intercourse can be resumed. Which response by the nurse is best?
Correct Answer: B
Rationale: The correct answer is B because it provides accurate information about the energy expenditure during sexual activity, which can be a concern for patients recovering from an AMI. Climbing two flights of stairs is a useful reference point for patients to gauge their readiness for physical exertion. Choice A is incorrect as it oversimplifies the potential risks and complications associated with resuming sexual activity post-AMI. Choice C is incorrect as it suggests that the doctor will provide specific guidelines without addressing the patient's concerns in the moment. Choice D is incorrect as it focuses solely on emotional intimacy rather than addressing the patient's question about physical activity.
Question 3 of 5
Which information about a patient who has been receiving thrombolytic therapy for an acute myocardial infarction is most important for the nurse to communicate to the health care provider?
Correct Answer: C
Rationale: The correct answer is C: No change in the patient's reported level of chest pain. This is the most important information to communicate because it indicates a lack of improvement in the patient's condition despite thrombolytic therapy. This suggests a potential complication or treatment failure that needs immediate attention. A: An increase in troponin levels from baseline may indicate ongoing myocardial damage but may not be as urgent as persistent chest pain. B: A large bruise at the IV site is a common side effect of thrombolytic therapy and can usually be managed without immediate intervention. D: A decrease in ST-segment elevation on the ECG is a positive sign of reperfusion but may not be as urgent as persistent chest pain.
Question 4 of 5
A complication of peripheral vascular disease may be:
Correct Answer: A
Rationale: The correct answer is A: stasis ulcer. Peripheral vascular disease causes poor blood circulation in the extremities, leading to tissue damage and ulcers, particularly in the lower legs and feet. Stasis ulcers are a common complication due to decreased blood flow. Pressure ulcers (B) are caused by prolonged pressure on the skin, not related to vascular disease. Gastric ulcer (C) and duodenal ulcer (D) are typically associated with gastrointestinal issues, such as Helicobacter pylori infection or nonsteroidal anti-inflammatory drug use, and are not directly related to peripheral vascular disease.
Question 5 of 5
A client with a myocardial infarction and cardiogenic shock is placed on an intra- aortic ballon pump (IAPB). If the device is functioning properly, the balloon inflates when the:
Correct Answer: C
Rationale: The correct answer is C: Aortic valve is closed. When the IABP is functioning properly, the balloon inflates during diastole when the aortic valve is closed. This inflation helps to increase coronary perfusion and decrease afterload, improving myocardial oxygen supply and reducing workload. Choices A, B, and D are incorrect because the inflation of the balloon is not directly related to the status of the tricuspid, pulmonic, or mitral valves. The key factor in timing the inflation of the balloon is the closure of the aortic valve during diastole.