ATI RN
Physical Exam Cardiovascular System
1. Which of the following is a chronic inflammatory disease of the airways that causes episodes of wheezing, breathlessness, chest tightness, and coughing?
- A. Asthma
- B. Bronchitis
- C. Pneumonia
- D. Emphysema
Correct answer: A
Rationale: Asthma is the correct answer. It is a chronic inflammatory disease of the airways characterized by episodes of wheezing, breathlessness, chest tightness, and coughing. These symptoms are often triggered by allergens or exercise. Bronchitis is an inflammation of the bronchial tubes, but it is not typically chronic or involve the same triggers as asthma. Pneumonia is an infection of the lungs, and emphysema is a type of chronic obstructive pulmonary disease (COPD) often caused by smoking.
2. Which condition is characterized by the narrowing or blockage of arteries that supply blood to the heart by plaque?
- A. Coronary artery disease (CAD)
- B. Atherosclerosis
- C. Peripheral artery disease
- D. Congestive heart failure
Correct answer: A
Rationale: The correct answer is A, Coronary artery disease (CAD). CAD specifically refers to the condition where the arteries supplying blood to the heart become narrowed or blocked by plaque buildup. Choice B, Atherosclerosis, is a general term for the hardening and narrowing of arteries due to plaque buildup but does not specifically mention the heart. Choice C, Peripheral artery disease, involves narrowing of arteries that supply blood to areas other than the heart. Choice D, Congestive heart failure, is a condition where the heart is unable to pump blood effectively but is not primarily caused by narrowed or blocked arteries.
3. What is the condition where the arteries in the brain become blocked or narrowed, leading to reduced blood flow and a potential stroke?
- A. Cerebral atherosclerosis
- B. Coronary artery disease
- C. Pulmonary embolism
- D. Peripheral artery disease
Correct answer: A
Rationale: Cerebral atherosclerosis is the correct answer. It is a condition where the arteries in the brain become blocked or narrowed due to plaque buildup, leading to reduced blood flow and an increased risk of stroke. Choice B, Coronary artery disease, specifically affects the arteries supplying blood to the heart, not the brain. Choice C, Pulmonary embolism, involves a blockage in the pulmonary artery that affects blood flow to the lungs, not the brain. Choice D, Peripheral artery disease, refers to a condition where blockages occur in arteries outside of the heart and brain, typically affecting the limbs.
4. Which order should the nurse question?
- A. The addition of a loop diuretic with digoxin.
- B. The addition of a beta blocker with digoxin.
- C. A digoxin dose of 0.125 mg per day.
- D. The addition of an ACE inhibitor with digoxin.
Correct answer: B
Rationale: The correct answer is B because adding a beta blocker to digoxin can potentiate the bradycardic effect of digoxin, leading to serious complications such as heart block. This combination requires caution as it can significantly slow down the heart rate. Choices A, C, and D are not the best options to question in this scenario. Loop diuretics are commonly used with digoxin, a digoxin dose of 0.125 mg per day is within the typical range, and ACE inhibitors are often prescribed alongside digoxin for managing heart conditions.
5. Which heart chamber receives oxygenated blood from the lungs and pumps it to the rest of the body?
- A. Left atrium
- B. Right atrium
- C. Left ventricle
- D. Right ventricle
Correct answer: C
Rationale: The correct answer is the left ventricle. It receives oxygenated blood from the left atrium and pumps it to the rest of the body through the aorta. The left atrium receives oxygenated blood from the lungs, the right atrium receives deoxygenated blood from the body, and the right ventricle pumps deoxygenated blood to the lungs.
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