ATI RN
ANCC Cardiovascular Certification Practice Questions Questions
Question 1 of 5
Which lifestyle changes should a client diagnosed with coronary artery disease consider?
Correct Answer: D
Rationale: The correct answer is D, as all choices are important lifestyle changes for a client with coronary artery disease. Smoking cessation reduces the risk of heart disease, exercise helps improve heart health, and weight reduction can lower the strain on the heart. Each choice addresses a different aspect of managing coronary artery disease, making all of them essential for overall well-being. Therefore, it is crucial for the client to adopt all of these changes to effectively manage their condition and reduce the risk of complications.
Question 2 of 5
An infant with a ventricular septal defect is receiving digoxin (Lanoxin). Which intervention by the nurse is most appropriate before digoxin administration?
Correct Answer: D
Rationale: The correct answer is D: Check the infant's apical pulse for 1 minute. Before administering digoxin, it is crucial to assess the infant's apical pulse because digoxin is a medication that affects the heart rate. By checking the apical pulse, the nurse can determine the baseline heart rate and assess for any irregularities or changes that may indicate digoxin toxicity. This step is essential to ensure the medication is safe for the infant. Incorrect choices: A: Taking the infant's blood pressure is not necessary before administering digoxin, as the focus should be on assessing the heart rate specifically. B: Checking the respiratory rate is not directly related to digoxin administration and does not provide crucial information about the medication's effects. C: Checking the radial pulse is not as accurate as checking the apical pulse when assessing the heart rate, which is critical before giving digoxin.
Question 3 of 5
Which of the following is the best action by the nurse?
Correct Answer: A
Rationale: Rationale for Correct Answer A: 1. Administering metoprolol and hydrochlorothiazide is appropriate as they are commonly prescribed antihypertensive medications. 2. Holding captopril is correct because it is contraindicated with hydrochlorothiazide due to increased risk of hyperkalemia. 3. Notifying the physician is necessary for further guidance and potential alternative treatment options. Summary of Incorrect Choices: B: Administering captopril with hydrochlorothiazide is not recommended due to potential adverse effects. Holding metoprolol without a valid reason is not indicated. C: Administering all medications without considering drug interactions is unsafe and may lead to harmful effects. D: Withholding all medications without proper justification can result in uncontrolled hypertension and potential complications.
Question 4 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 5 of 5
The nurse would assess for which of the following manifestations in a client with suspected arterial embolism to the left hand? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Pain. Arterial embolism to the left hand can lead to ischemia, causing severe pain due to inadequate blood flow. This pain is typically described as sudden and severe. Pale skin (B) is a sign of inadequate blood supply but may not be specific to arterial embolism. Bounding radial pulse (C) is unlikely in arterial embolism as it obstructs blood flow. Parasthesias (D) may occur due to nerve compression, but pain is a more prominent symptom in arterial embolism.