ATI LPN
Cardiovascular Disease NCLEX Questions Questions
Question 1 of 5
Which of the following medication would be safe to use in a patient taking ranolazine?
Correct Answer: C
Rationale: Enalapril is safe with ranolazine, unlike the others which affect CYP3A4 metabolism.
Question 2 of 5
A 20 years old athlete complaint of gradually increasing shortness of breath. His X-ray revealed large globular heart and echocardiogram revealed markedly decreased ejection fraction of 30% and dilatation of all four chambers of heart. His coronary angiogram did not revealed any obstruction. He is most likely suffering from:
Correct Answer: A
Rationale: Dilated cardiomyopathy causes four-chamber dilatation, reduced ejection fraction, and shortness of breath, with normal coronaries ruling out ischemic etiology.
Question 3 of 5
An afebrile 23-year-old man develops a sudden onset of left-sided, stabbing chest pain with dyspnea. Physical exam of the left chest reveals hyperresonance to percussion, deviation of the trachea to the left, elevation of the diaphragm, decreased tactile fremitus, and decreased breath sounds. The MOST LIKELY diagnosis is...
Correct Answer: C
Rationale: Spontaneous pneumothorax causes sudden chest pain, dyspnea, hyperresonance, and decreased breath sounds, with tracheal deviation toward the affected side in non-tension cases.
Question 4 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 5 of 5
What interventions should the nurse prioritize for a client with heart failure prescribed milrinone?
Correct Answer: A
Rationale: Milrinone can cause hypokalemia and hypotension, which must be monitored closely.