ATI RN
Physical Exam Cardiovascular System
1. What condition is characterized by the inflammation of the heart's outer lining, often causing chest pain and other symptoms?
- A. Pericarditis
- B. Endocarditis
- C. Myocarditis
- D. Valvular heart disease
Correct answer: A
Rationale: Pericarditis is the correct answer because it is the inflammation of the pericardium, the outer lining of the heart. This condition commonly presents with symptoms like chest pain. Endocarditis (choice B) is the inflammation of the inner lining of the heart chambers and valves. Myocarditis (choice C) is the inflammation of the heart muscle itself. Valvular heart disease (choice D) refers to various conditions affecting the heart valves, not specifically the outer lining of the heart.
2. Which term describes an abnormal heartbeat that can be either too fast or too slow?
- A. Arrhythmia
- B. Bradycardia
- C. Tachycardia
- D. Conductivity
Correct answer: A
Rationale: The correct answer is A: Arrhythmia. Arrhythmia is a broad term that refers to any irregularity in the heart's rhythm, which can manifest as a heartbeat that is too fast (tachycardia), too slow (bradycardia), or irregular. Choice B, Bradycardia, specifically denotes a slow heart rate, while choice C, Tachycardia, refers to a fast heart rate. Choice D, Conductivity, is not the correct term to describe an abnormal heartbeat characterized by speed irregularities.
3. Which of the following is a chronic condition characterized by difficulty breathing due to airflow obstruction, commonly associated with long-term smoking?
- A. Chronic obstructive pulmonary disease (COPD)
- B. Asthma
- C. Pulmonary hypertension
- D. Bronchitis
Correct answer: A
Rationale: The correct answer is A, Chronic obstructive pulmonary disease (COPD). COPD is a chronic lung condition characterized by persistent airflow obstruction, commonly linked to long-term smoking. Choice B, Asthma, is a chronic condition characterized by reversible airflow obstruction and airway inflammation triggered by various factors like allergens and irritants. Choice C, Pulmonary hypertension, is a condition characterized by high blood pressure in the arteries of the lungs. Choice D, Bronchitis, is an inflammation of the bronchial tubes that may be acute or chronic, but it is not typically associated with long-term smoking like COPD.
4. What is an infection that causes inflammation in the air sacs of one or both lungs, which may fill with fluid or pus?
- A. Pneumonia
- B. Tuberculosis
- C. Pleurisy
- D. Pulmonary edema
Correct answer: A
Rationale: The correct answer is A, Pneumonia. Pneumonia is an infection that inflames the air sacs in one or both lungs, which may fill with fluid or pus, causing symptoms like cough, fever, chills, and difficulty breathing. Tuberculosis (B) is a bacterial infection that primarily affects the lungs but is caused by a different bacterium. Pleurisy (C) is inflammation of the tissues that line the lungs and chest cavity, not the air sacs. Pulmonary edema (D) is a condition where fluid accumulates in the lungs' air sacs but is often due to heart problems rather than an infection.
5. The client is on a beta blocker for hypertension. What should the nurse monitor for?
- A. Bradycardia
- B. Tachycardia
- C. Hypertension
- D. Respiratory distress
Correct answer: A
Rationale: Corrected Rationale: When a client is on a beta blocker for hypertension, the nurse should monitor for bradycardia. Beta blockers are known to decrease heart rate, which can lead to bradycardia. Tachycardia (choice B) is unlikely as beta blockers have the opposite effect. Hypertension (choice C) is the condition being treated, not a side effect of beta blockers. Respiratory distress (choice D) is not a common effect of beta blockers and is not typically monitored in clients taking beta blockers.
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