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 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 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: 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.
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." Aspirin should be avoided in rheumatic fever due to the risk of Reye's syndrome. Aspirin can worsen the condition, leading to serious complications. The other choices are incorrect because: B: Penicillin is given to prevent recurrent streptococcal infections, not until the age of 20. C: Gown, gloves, and mask are not necessary for rheumatic fever, as it is not highly contagious. D: Keeping the child away from his sister is not necessary, as rheumatic fever is not spread through casual contact.
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: The correct answer is A: Irregular pulse. Atrial fibrillation is characterized by an irregular heartbeat, which can lead to serious complications like blood clots and stroke. Reporting an irregular pulse to the physician is crucial for prompt evaluation and management. Fever (B) is not typically associated with atrial fibrillation. Fatigue (C) is a common symptom but not as urgent as an irregular pulse. Hemoptysis (D) is coughing up blood and is not directly related to atrial fibrillation.
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: Step 1: Arterial insufficiency is caused by decreased blood flow to the extremities. Step 2: Avoiding long periods of sitting and standing helps improve blood circulation. Step 3: Increased mobility prevents blood pooling and promotes better tissue perfusion. Step 4: Keeping legs raised may help temporarily, but prolonged elevation can worsen arterial flow. Step 5: Decreasing ambulation worsens arterial insufficiency by reducing blood flow. Step 6: Applying moist heat can increase vasodilation, worsening the condition. Summary: Choice A is correct as it promotes circulation. Choices B, C, and D are incorrect as they can worsen arterial insufficiency by impeding blood flow or increasing vasodilation.