ATI RN
Physical Exam Cardiovascular System
1. The client on clopidogrel (Plavix) should be monitored for which adverse effect?
- A. Bleeding
- B. Hypertension
- C. Tachycardia
- D. Bradycardia
Correct answer: A
Rationale: Correct! Clopidogrel (Plavix) is an antiplatelet medication that helps prevent blood clots. As a side effect, it can increase the risk of bleeding. Monitoring for signs of bleeding, such as easy bruising, blood in urine or stools, or prolonged bleeding from cuts, is crucial. Choices B, C, and D are incorrect as hypertension, tachycardia, and bradycardia are not typically associated with clopidogrel use.
2. Which condition involves the tearing of the aorta, leading to severe pain and internal bleeding?
- A. Aortic dissection
- B. Aneurysm
- C. Stroke
- D. Myocardial infarction
Correct answer: A
Rationale: The correct answer is Aortic dissection. Aortic dissection is a life-threatening condition where the inner layer of the aorta tears, causing severe chest or back pain and internal bleeding, requiring immediate medical attention. Choice B, aneurysm, involves a bulging or weakening of a blood vessel wall, which is different from a tear in the aorta. Choices C and D, stroke and myocardial infarction, do not directly involve the tearing of the aorta and are distinct conditions.
3. Which condition involves the body's immune system attacking the lungs and kidneys, causing severe respiratory and renal damage?
- A. Goodpasture syndrome
- B. Sarcoidosis
- C. Wegener's granulomatosis
- D. Interstitial lung disease
Correct answer: A
Rationale: Goodpasture syndrome is the correct answer. It is an autoimmune disease characterized by the immune system attacking the lungs and kidneys, leading to bleeding in the lungs and kidney failure. Sarcoidosis primarily affects the lungs and lymph nodes, not the kidneys. Wegener's granulomatosis affects the lungs, sinuses, and kidneys, but it is characterized by inflammation of blood vessels. Interstitial lung disease involves scarring of the lung tissue, not direct immune system attacks on the lungs and kidneys.
4. Which heart chamber ejects blood into the lungs via the pulmonary artery?
- A. Right atrium
- B. Left atrium
- C. Right ventricle
- D. Left ventricle
Correct answer: C
Rationale: The correct answer is C, the right ventricle. The right ventricle is responsible for pumping deoxygenated blood into the lungs through the pulmonary artery for oxygenation. Choices A, B, and D are incorrect because the right atrium receives deoxygenated blood from the body, the left atrium receives oxygenated blood from the lungs, and the left ventricle pumps oxygenated blood to the body, respectively.
5. What is the accumulation of fatty deposits along the walls of arteries, leading to reduced blood flow?
- A. Atherosclerosis
- B. Arteriosclerosis
- C. Aneurysm
- D. Thrombosis
Correct answer: A
Rationale: Atherosclerosis is the correct answer. It refers to the buildup of fatty deposits (plaque) along the inner walls of arteries, narrowing the blood vessels and reducing blood flow. This condition can lead to serious complications such as heart attacks or strokes. Arteriosclerosis (choice B) is a broader term that refers to the thickening and hardening of the arterial walls. While related, it is not as specific as atherosclerosis in describing the fatty deposit accumulation. Aneurysm (choice C) is the abnormal bulging of an artery wall that can rupture and cause internal bleeding, not specifically related to fatty deposits. Thrombosis (choice D) is the formation of a blood clot within a blood vessel, which can obstruct blood flow, but it is not directly related to the accumulation of fatty deposits.
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