ATI LPN
Cardiovascular Disease NCLEX Questions Questions
Question 1 of 5
Which information would the nurse consider when planning care for older adult patients with hypertension?(Select all that apply.)
Correct Answer: B
Rationale: Systolic blood pressure increases with age and patients older than age 60 years should be maintained below 150/90 mm Hg. Older adults are more likely to have elevated blood pressure when taken by health care providers (white coat syndrome).
Question 2 of 5
What is the nurse's next action if a patient on digoxin reports blurred vision and yellow halos?
Correct Answer: B
Rationale: Visual disturbances, including yellow halos, are classic signs of digoxin toxicity and require immediate evaluation.
Question 3 of 5
What condition in the client's history would require the nurse to question a prescription for propranolol for a dysrhythmia?
Correct Answer: B
Rationale: Propranolol is a non-selective beta-blocker and can exacerbate bronchoconstriction in clients with COPD.
Question 4 of 5
A 58 yo female with history of type II diabetes, smoker, remote history of NSTEMI and stenting of circumflex artery, presents to the ER with 24 hrs of intermittent chest pain. The initial EKG demonstrates ST depression in the inferior leads. Her symptoms resolve readily with conservative medical therapy and she is hemodynamically stable. A repeat EKG demonstrates resolution of ST changes and the patient feels well. Serial cardiac enzymes are mildly increased (troponinI= 0.03, 0.60, 0.90). The best approach to this patient is?
Correct Answer: B
Rationale: The correct answer is an invasive approach because the patient has a known history of coronary artery disease and presented with chest pain and elevated troponins, indicating unstable angina or non-ST elevation MI. Cardiac catheterization helps determine the need for revascularization.
Question 5 of 5
A 52 y/o female who has GERD for the past 10 yrs, requiring standard PPI daily, has been inquiring about lifestyle modifications. Which of the following changes have been shown to improve gastroesophageal reflux disease?
Correct Answer: C
Rationale: Elevation of the head of the bed reduces nighttime reflux by using gravity to prevent acid backflow, a well-established lifestyle modification for GERD. Other options may help but lack consistent evidence as primary interventions.