Cardiovascular System Test Bank

ATI RN · Cardiovascular System Test Bank

Question 1 of 42

The procedure that the client undertakes is described as a balloon-tipped catheter inserted through the skin and threaded from a peripheral artery into the diseased coronary artery. The inflation of the balloon compresses the atherosclerotic plaque against the arterial wall, increasing the diameter of the artery. What is the procedure called?

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ATI RN · Cardiovascular System Test Bank

Question 2 of 42

The client is taking an ACE inhibitor. The nurse explains to the client that this drug acts how?

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ATI RN · Cardiovascular System Test Bank

Question 3 of 42

A 70-year-old patient with cardiovascular disease attends group classes on disease process, medications, exercise, nutrition, and stress management. To promote optimal and effective learning, the cardiac-vascular nurse uses which teaching strategy?

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ATI RN · Cardiovascular System Test Bank

Question 4 of 42

The client is to take IV heparin. What is a contraindication to giving the drug? Select all that apply.

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ATI RN · Cardiovascular System Test Bank

Question 5 of 42

Why does the nurse assess for allergy to seafood during the initial assessment of a client with a disorder of the cardiovascular system?

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ATI RN · Cardiovascular System Test Bank

Question 6 of 42

Which assessment finding by the nurse caring for a patient who has had coronary artery bypass grafting using a right radial artery graft is most important to communicate to the health care provider?

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ATI RN · Cardiovascular System Test Bank

Question 7 of 42

You are monitoring a 53-year-old patient who is having a stress test using a treadmill. Which of these patient symptoms will require the most immediate action?

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ATI RN · Cardiovascular System Test Bank

Question 8 of 42

The client is having a standard electrocardiogram. The nurse knows that the QT segment represents what?

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ATI RN · Cardiovascular System Test Bank

Question 9 of 42

Which statement made by a patient with coronary artery disease after the nurse has completed teaching about the therapeutic lifestyle changes (TLC) diet indicates that further teaching is needed?

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ATI RN · Cardiovascular System Test Bank

Question 10 of 42

A nurse is evaluating a client with left- sided heart failure. Which finding should the nurse expect to assess?

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ATI RN · Cardiovascular System Test Bank

Question 11 of 42

The client is experiencing a drug-drug interaction with streptokinase and another drug. Which other drug can cause a drug- drug interaction with streptokinase?

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ATI RN · Cardiovascular System Test Bank

Question 12 of 42

When the patient who is diagnosed with an MI is not relieved of chest pain with IV nitroglycerin, which medication will the nurse expect to be used?

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ATI RN · Cardiovascular System Test Bank

Question 13 of 42

The client is being switched from warfarin to Pradaxa. What does the nurse look for as an indication to give the Pradaxa?

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ATI RN · Cardiovascular System Test Bank

Question 14 of 42

Diet in hypertension.

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ATI RN · Cardiovascular System Test Bank

Question 15 of 42

The client has a condition for which a beta agonist has been ordered. What condition might this be?

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ATI RN · Cardiovascular System Test Bank

Question 16 of 42

Which of the following medications would you expect to see on the medication list for a 26-year-old man with pericarditis?

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ATI RN · Cardiovascular System Test Bank

Question 17 of 42

While working on the cardiac step-down unit, you are precepting a new graduate RN who has been in a 6-week orientation program. Which of these patients will be best to assign to the new graduate?

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ATI RN · Cardiovascular System Test Bank

Question 18 of 42

An infant with a congenital cyanotic heart defect has a complete blood count drawn, revealing an elevated red blood cell (RBC) count. Which condition do these findings indicate?

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ATI RN · Cardiovascular System Test Bank

Question 19 of 42

The nurse is educating a client who has just been started on Zetia (exetimibe). What does the nurse say to educate the client?

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ATI RN · Cardiovascular System Test Bank

Question 20 of 42

Why should the nurse monitor ACE inhibitors cautiously in clients with renal or hepatic impairment and older adults?

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ATI RN · Cardiovascular System Test Bank

Question 21 of 42

To improve the physical activity level for a mildly obese 71-yr-old patient, which action should the nurse plan to take?

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ATI RN · Cardiovascular System Test Bank

Question 22 of 42

When reviewing Mrs. Payer's follow-up visits, your main objective should be to

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ATI RN · Cardiovascular System Test Bank

Question 23 of 42

When caring for a patient after a cardiac catheterization with coronary angiography, which finding would be of most concern to the nurse?

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ATI RN · Cardiovascular System Test Bank

Question 24 of 42

A patient recovering from a myocardial infarction (MI) develops chest pain on day 3 that increases when taking a deep breath and is relieved by leaning forward. Which action should the nurse take as focused follow-up on this symptom?

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ATI RN · Cardiovascular System Test Bank

Question 25 of 42

Why are heart biopsies performed throughout a client's lifetime after heart transplantation?

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ATI RN · Cardiovascular System Test Bank

Question 26 of 42

The client has a third degree AV block. The definitive treatment for this rhythm is what?

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ATI RN · Cardiovascular System Test Bank

Question 27 of 42

A nurse administers warfarin (Coumadin) to a client with deep vein thrombophlebitis. Which laboratory valve indicates that the client has a therapeutic level of warfarin?

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ATI RN · Cardiovascular System Test Bank

Question 28 of 42

The nurse is giving the client digoxin for heart failure and recognizes that the drug has what type of effect on the heart?

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ATI RN · Cardiovascular System Test Bank

Question 29 of 42

When arrhythmias occur immediately following cardiac surgery, they are most commonly due to

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ATI RN · Cardiovascular System Test Bank

Question 30 of 42

On his third postoperative day, Bill appears confused and is having some hallucinations. His vital signs are otherwise within normal limits. These symptoms are probably due to

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ATI RN · Cardiovascular System Test Bank

Question 31 of 42

Which of the following is an early indication of mitral valve stenosis?

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ATI RN · Cardiovascular System Test Bank

Question 32 of 42

Pathophysiology in Pulmonary Tuberculosis.

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ATI RN · Cardiovascular System Test Bank

Question 33 of 42

A patient is admitted with severe uncompensated pulmonary edema secondary to chronic heart failure. After diagnostic testing, it is found that the left coronary artery is blocked, which has led to his pulmonary edema. Which of the following signs and symptoms is consistent with this diagnosis?

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ATI RN · Cardiovascular System Test Bank

Question 34 of 42

The client is taking a class I anti-arrhythmic medication. How does this type of medication work?

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ATI RN · Cardiovascular System Test Bank

Question 35 of 42

Which symptoms should Mr. Dunn, discharged after a myocardial infarction, be instructed to report to his physician immediately?

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ATI RN · Cardiovascular System Test Bank

Question 36 of 42

When teaching an older adult with CAD how to manage the treatment program for angina, which guidelines does the nurse use to teach the patient?

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ATI RN · Cardiovascular System Test Bank

Question 37 of 42

During the acute phase of rheumatic fever, which of the following is a priority action of the nurse?

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ATI RN · Cardiovascular System Test Bank

Question 38 of 42

A 58 year old patient is in a cardiac rehabilitation program. The nurse teaches the patient to stop exercising if

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ATI RN · Cardiovascular System Test Bank

Question 39 of 42

When explaining essential hypertension to Mr. Cook, you would explain that it occurs as a result of

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ATI RN · Cardiovascular System Test Bank

Question 40 of 42

A patient is being taught how to care for his pacemaker site by the critical care nurse. Which of the following indicates that this patient understands safe care of the device?

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ATI RN · Cardiovascular System Test Bank

Question 41 of 42

A client undergoes ligation of varicose veins. The nurse includes in the plan of care which of the following important interventions for the nursing diagnosis of ineffective tissue perfusion?

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ATI RN · Cardiovascular System Test Bank

Question 42 of 42

During treatment of a patient with a BP of 222/148 mm Hg and confusion, nausea, and vomiting, the nurse initially titrates the medications to achieve which goal?

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