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 (All of the Above). Smoking cessation reduces cardiovascular risks. Regular exercise improves heart health. Weight reduction can lower blood pressure and cholesterol levels. Each lifestyle change targets a specific risk factor for coronary artery disease, making all the choices essential for managing the condition effectively. Therefore, selecting all the options is the most comprehensive approach to address the client's coronary artery disease.
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 apical pulse for a full minute to ensure the heart rate is within the appropriate range (usually above 100 bpm in infants). Digoxin can cause bradycardia, so monitoring the apical pulse is essential to prevent potential adverse effects. A: Taking the infant's blood pressure is not the most appropriate intervention before administering digoxin as the focus should be on assessing the heart rate specifically. B: Checking the infant's respiratory rate is not directly related to the administration of digoxin, and assessing the pulse rate is more relevant. C: Checking the infant's radial pulse is not as accurate as assessing the apical pulse when monitoring for potential digoxin-induced changes in heart rate. In summary, the most appropriate intervention before digoxin administration is to check the infant's apical pulse for 1 minute to
Question 3 of 5
Which of the following is the best action by the nurse?
Correct Answer: A
Rationale: The correct answer is A: Administer the metoprolol (Lopressor) and the hydrochlorothiazide (HydroDiuril), hold the captopril (Copoten), and notify the physician. Rationale: 1. Metoprolol and hydrochlorothiazide are commonly prescribed medications for hypertension. 2. Captopril is an ACE inhibitor and should be held due to potential interactions with the other medications. 3. Notifying the physician is crucial to ensure proper management and prevent adverse effects. Summary of other choices: B: Incorrect because holding metoprolol is not recommended as it is a common antihypertensive drug. C: Incorrect because administering all medications without addressing the potential interaction with captopril is unsafe. D: Incorrect because withholding all medications without administering any could lead to uncontrolled hypertension, risking the patient's health.
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. Monitoring the size and location of the aneurysm is crucial in determining the risk of rupture. Larger aneurysms in critical locations are more likely to rupture. This information guides healthcare providers in making informed decisions about interventions to prevent rupture. Explanation of other choices: A: Medication therapy the client is receiving - While medication therapy may be important in managing symptoms or risk factors associated with an aneurysm, it does not directly indicate impending rupture. B: Client's usual blood pressure - Blood pressure management is important in preventing complications of an aneurysm, but it does not specifically signal impending rupture. C: Age and gender of the client - While age and gender may influence the risk of developing an aneurysm, they do not indicate impending rupture.
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 results in decreased blood flow to the affected area, leading to tissue ischemia and pain. Pale skin (B) is a sign of decreased blood flow but may not always be present initially. A bounding radial pulse (C) is unlikely in the presence of an arterial embolism as it indicates increased blood flow. Parasthesias (D) may occur due to nerve compression but are not as specific to arterial embolism as pain. Pain is a key manifestation due to tissue ischemia and should be assessed promptly to prevent further complications.