ATI RN
Cardiovascular Practice Questions Questions
Question 1 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 as it could indicate a lack of effectiveness of the thrombolytic therapy in relieving the myocardial infarction symptoms. The other choices are less critical: A could be expected due to the nature of myocardial infarction, B could be a common side effect of IV insertion, and D could indicate a positive response to the therapy. It is essential to prioritize the patient's symptoms and response to treatment when communicating with the healthcare provider.
Question 2 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: Step 1: In cardiogenic shock, the heart is unable to pump effectively, leading to decreased blood flow. Step 2: The IABP helps improve coronary artery perfusion and cardiac output by inflating during diastole. Step 3: During diastole, the aortic valve is closed to prevent blood flow back into the left ventricle. Step 4: The inflated balloon in the aorta increases coronary perfusion and reduces afterload. Summary: Choice C is correct as the balloon inflates when the aortic valve is closed to improve coronary perfusion. Choices A, B, and D are incorrect as they do not align with the physiological mechanism of the IABP.
Question 3 of 5
A child has been diagnosed with rheumatic fever. Which statement by the mother indicates an understanding of rheumatic fever?
Correct Answer: A
Rationale: The correct answer is A, "I should avoid giving my child aspirin for the arthritic pain." Rheumatic fever can cause joint pain, and giving aspirin to a child with rheumatic fever can worsen the condition by increasing the risk of Reye's syndrome. Aspirin should be avoided, and acetaminophen can be used for pain relief. Choice B is incorrect because penicillin is prescribed to prevent recurrent streptococcal infections, not until the child is 20 years old. Choice C is incorrect because gown, gloves, and mask are not necessary for rheumatic fever, as it is not a highly contagious disease. Choice D is incorrect because siblings don't need to be kept away from the child with rheumatic fever.
Question 4 of 5
The nurse is discharging a client to home with a new diagnosis of atrial fibrillation.. The nurse explains that which of the following is the most important symptoms to report to the physician?
Correct Answer: A
Rationale: Step 1: Atrial fibrillation is characterized by an irregular pulse, which can lead to serious complications like stroke. Step 2: Reporting irregular pulse promptly allows the physician to assess the need for interventions to prevent complications. Step 3: Fever (B), fatigue (C), and hemoptysis (D) are not typically associated with atrial fibrillation. Summary: Reporting irregular pulse is crucial for timely management of atrial fibrillation, while fever, fatigue, and hemoptysis are not relevant symptoms in this context.
Question 5 of 5
Which of the following suggestions should the nurse include when conducting health teaching for clients with arterial insufficiency?
Correct Answer: A
Rationale: The correct answer is A because avoiding long periods of sitting and standing helps improve blood circulation in clients with arterial insufficiency. Prolonged sitting or standing can worsen arterial insufficiency by restricting blood flow. Keeping the legs and feet in a raised position (choice B) can help reduce swelling but does not address the root issue of poor circulation. Decreasing ambulation (choice C) would further compromise circulation. Applying moist heat (choice D) can be detrimental as it can dilate blood vessels and exacerbate arterial insufficiency symptoms.