ATI RN
ANCC Cardiovascular Certification Practice Questions Questions
Question 1 of 5
When teaching a client with an aneurysm what signs and symptoms may indicate impending rupture, the nurse considers which of the following?
Correct Answer: D
Rationale: The correct answer is D: Size and location of the aneurysm. This is crucial because an aneurysm's risk of rupture is directly related to its size and location. Larger aneurysms and those located in critical areas are more likely to rupture. Explanation: 1. Size: Larger aneurysms have a higher risk of rupture due to increased pressure on the arterial wall. 2. Location: Aneurysms in certain areas, such as the brain or aorta, are more prone to rupture. 3. Medication therapy (choice A) is important but does not directly indicate impending rupture. 4. The client's usual blood pressure (choice B) is relevant but not a definitive sign of impending rupture. 5. Age and gender (choice C) are important factors but do not directly indicate impending rupture. In summary, monitoring the size and location of the aneurysm is crucial for identifying signs of impending rupture in a client with an aneur
Question 2 of 5
A patient is suspected of having a decreased cardiac output due to dysrhythmias. Which of the following assessments would be included in a decreased cardiac output? Select all that apply
Correct Answer: A
Rationale: The correct answer is A: Elevated jugular venous distention. This is a common sign of decreased cardiac output as it indicates increased central venous pressure due to impaired cardiac function. Elevated JVD reflects inadequate cardiac output, leading to blood backing up into the jugular veins. Choices B, C, and D are incorrect. Polyuria is not typically associated with decreased cardiac output. Full and bounding pulses are usually seen in conditions of increased cardiac output, not decreased. Diaphoresis is a non-specific symptom and can be present in various conditions, not specifically indicative of decreased cardiac output.
Question 3 of 5
If a hypertensive client with asthma takes the maximal dose of his diuretic and his blood pressure still isn't controlled, the nurse understands the next step in controlling his hypertension would be to:
Correct Answer: A
Rationale: Step 1: Enalapril is an ACE inhibitor that helps lower blood pressure by blocking the production of angiotensin II, a potent vasoconstrictor. Step 2: Adding enalapril would be the appropriate next step as it provides an additional mechanism of action to control hypertension. Step 3: Changing to a beta blocker (B) or adding another diuretic (C) may not address the underlying cause of the uncontrolled hypertension. Step 4: Increasing the drug dosage above recommended levels (D) can lead to adverse effects without necessarily improving blood pressure control.
Question 4 of 5
A second 12 lead ECG performed on a patient 4 hours after the onset of chest pain reveals ST segment elevation. The nurse recognizes that this finding indicates
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
To prevent arterial trauma during the use of the IABP, the nurse should
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.