ATI RN
Med-Surg Cardiovascular Practice Questions Questions
Question 1 of 9
Which classification of drugs used to treat hypertension prevents the action of angiotensin II and promotes increased salt and water excretion?
Correct Answer: C
Rationale: ARBs block angiotensin II receptors, reducing vasoconstriction and sodium retention.
Question 2 of 9
An elderly patient on the coronary step-down unit tells you that he does not want to take the ordered docusate sodium (Colace) because he does not have any problems with constipation. Which intervention is most appropriate?
Correct Answer: C
Rationale: Decreased activity post-cardiac event can lead to constipation, necessitating prophylactic measures.
Question 3 of 9
What procedure is used cautiously or not at all in elderly clients who have aortic stenosis because stretching may fracture the aortic valve if it is calcified, as is often the case in older clients?
Correct Answer: A
Rationale: Balloon valvuloplasty poses a risk of fracturing calcified aortic valves in elderly clients.
Question 4 of 9
Which of the following classifications of heart failure is defined as marked limitation of physical activity with the client being comfortable at rest, but less than ordinary activity causes fatigue, heart palpitation, or dyspnea?
Correct Answer: D
Rationale: Class III heart failure involves significant limitations in physical activity despite being comfortable at rest.
Question 5 of 9
Buerger's disease characteristics.
Correct Answer: C
Rationale: Characterized by inflammation and occlusion of small and medium-sized arteries.
Question 6 of 9
Which classification of drugs used to treat hypertension prevents the action of angiotensin II and promotes increased salt and water excretion?
Correct Answer: C
Rationale: ARBs block angiotensin II receptors, reducing vasoconstriction and sodium retention.
Question 7 of 9
To prevent postoperative pulmonary embolus, clients must be taught effective coughing. To stimulate the cough reflex, it is desirable for the patient to first take
Correct Answer: B
Rationale: Deep breathing followed by a short breath enhances cough effectiveness.
Question 8 of 9
Which statements accurately describe heart failure ?
Correct Answer: A
Rationale: LVH and CAD are major contributors to heart failure.
Question 9 of 9
A second 12-lead ECG performed on a patient 4 hours after the onset of chest pain reveals ST segment elevation. What does the nurse recognize that this finding indicates?
Correct Answer: C
Rationale: ST elevation indicates full-thickness myocardial damage.