ATI LPN
Questions About the Cardiovascular System Questions
Question 1 of 5
Which of the following is not an extra-articular manifestation of Rheumatoid Arthritis?
Correct Answer: C
Rationale: Tophi are characteristic of gout, not rheumatoid arthritis (RA). Sjogren's, Felty's, and subcutaneous nodules are well-recognized extra-articular RA manifestations, per rheumatology guidelines.
Question 2 of 5
What type of heart failure does this statement describe? The ventricle is unable to properly fill with blood because it is too stiff. Therefore, blood backs up into the lungs causing the patient to experience shortness of breath.
Correct Answer: D
Rationale: The description matches left ventricular diastolic dysfunction (D), where a stiff ventricle impairs filling, causing pulmonary congestion and shortness of breath.
Question 3 of 5
An older patient has been diagnosed with possible white coat hypertension. Which planned action by the nurse addresses that suspected cause of the hypertension?
Correct Answer: B
Rationale: In the phenomenon of 'white coat' hypertension, patients have elevated BP readings in a clinical setting and normal readings when BP is measured elsewhere. Having the patient self-monitor BPs at home will provide a reliable indication about whether the patient has hypertension. Regular BP checks in the clinic are likely to be high in a patient with white coat hypertension. There is no evidence that this patient has elevated stress levels or a poor diet, and those factors do not cause white coat hypertension.
Question 4 of 5
The Frank-Starling law of the heart states that
Correct Answer: A
Rationale: The Frank-Starling law describes how increased preload (end-diastolic volume) enhances the force of ventricular contraction.
Question 5 of 5
The nurse is caring for a 70-year-old who uses hydrochlorothiazide(HydroDIURIL) and enalapril(Norvasc), but whose self-monitored blood pressure(BP) continues to be elevated. Which patient information may indicate a need for a change?
Correct Answer: D
Rationale: Because use of nonsteroidal antiinflammatory drugs(NSAIDs) can prevent adequate BP control, the patient may need to avoid the use of ibuprofen. A multivitamin tablet will help supply vitamin D, which may help lower BP. BP decreases while sleeping, so self-monitoring early in the morning will result in obtaining pressures that are at their lowest. The patient's alcohol intake is not excessive.