ATI RN
Cardiovascular System Practice Exam
1. Which medication is used to lower high blood pressure and reduce the risk of heart attacks and strokes?
- A. ACE inhibitor
- B. Beta-blocker
- C. Diuretic
- D. Calcium channel blocker
Correct answer: A
Rationale: The correct answer is an ACE inhibitor. ACE inhibitors are medications specifically designed to lower high blood pressure and reduce the risk of heart attacks, strokes, and other cardiovascular events. Beta-blockers, diuretics, and calcium channel blockers are also used to treat high blood pressure, but ACE inhibitors are particularly effective in reducing the risk of heart attacks and strokes.
2. This is a type of lung disease that results from the inhalation of certain dusts, often in the workplace, leading to lung damage.
- A. Pneumoconiosis
- B. Asbestosis
- C. Silicosis
- D. Anthracosis
Correct answer: A
Rationale: Pneumoconiosis is the correct answer. It is a lung disease caused by inhaling certain types of dust, commonly in a workplace setting, resulting in lung damage. Asbestosis (choice B) is a specific type of pneumoconiosis caused by asbestos fibers. Silicosis (choice C) is another type of pneumoconiosis caused by inhaling crystalline silica dust. Anthracosis (choice D) is a condition characterized by the accumulation of coal dust particles in the lungs, not necessarily resulting in lung damage.
3. What does the PR interval measure?
- A. Time it takes for the electrical impulse to travel from the atria to the ventricles
- B. Measurement of ventricular depolarization
- C. Duration of ventricular repolarization
- D. Segment representing the time between ventricular depolarization and repolarization
Correct answer: A
Rationale: The PR interval measures the time it takes for the electrical impulse to travel from the atria to the ventricles. It is crucial in diagnosing heart rhythm disorders, as abnormalities in this interval can indicate conduction abnormalities between the atria and ventricles. Choices B, C, and D are incorrect. The QRS complex represents ventricular depolarization, the QT interval represents the duration of ventricular repolarization, and the ST segment represents the time between ventricular depolarization and repolarization.
4. The client has a prescription for sublingual nitroglycerin. What is the nurse's instruction for how to take this medication during an episode of chest pain?
- A. Take one tablet every 5 minutes, up to three tablets.
- B. Take one tablet every hour until the pain subsides.
- C. Take two tablets immediately if chest pain occurs.
- D. Take one tablet with a full glass of water.
Correct answer: A
Rationale: The correct answer is A. The standard instruction for sublingual nitroglycerin during an episode of chest pain is to take one tablet every 5 minutes, up to three tablets. If the pain persists after taking three tablets, the client should seek emergency help. Choice B is incorrect because taking one tablet every hour is not the appropriate dosing for acute chest pain. Choice C is incorrect as taking two tablets immediately is not in line with the recommended dosing instructions. Choice D is incorrect because sublingual nitroglycerin should be placed under the tongue, not swallowed with water.
5. What is the procedure where a catheter is used to open a blocked or narrowed coronary artery, often involving the placement of a stent?
- A. Angioplasty
- B. Valve replacement
- C. Stent placement
- D. Coronary artery bypass graft (CABG)
Correct answer: A
Rationale: The correct answer is Angioplasty. Angioplasty is a procedure where a catheter is used to open a blocked or narrowed coronary artery, often involving the placement of a stent to keep the artery open and improve blood flow to the heart. Choice B, Valve replacement, is incorrect as it involves replacing a heart valve, not opening a blocked artery. Choice C, Stent placement, is similar to angioplasty but not as specific, as it does not involve the catheter-based procedure. Choice D, Coronary artery bypass graft (CABG), is a different procedure where blocked arteries are bypassed using a blood vessel from another part of the body.
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