ATI RN
Cardiovascular System Exam Questions
1. What test measures the pressure inside the arteries as the heart pumps blood?
- A. Blood pressure test
- B. Pulse oximetry
- C. Echocardiogram
- D. Spirometry
Correct answer: A
Rationale: The correct answer is A) Blood pressure test. A blood pressure test is specifically designed to measure the pressure inside the arteries as the heart pumps blood. This test is crucial in providing information about cardiovascular health by determining the force of blood against the artery walls. Choice B, Pulse oximetry, measures oxygen saturation in the blood, not blood pressure. Choice C, Echocardiogram, is an ultrasound test that evaluates the structure and function of the heart, not specifically blood pressure. Choice D, Spirometry, is a test used to assess lung function, not blood pressure.
2. Which structure serves as the normal pacemaker of the heart?
- A. SA node
- B. AV node
- C. Purkinje fibers
- D. Atria
Correct answer: A
Rationale: The correct answer is the SA node. The sinoatrial (SA) node is known as the natural pacemaker of the heart as it generates electrical impulses initiating each heartbeat. The SA node is located in the right atrium and sets the rhythm and rate of the heartbeat. The AV node (choice B) is responsible for delaying the electrical impulse to allow the atria to contract before the ventricles. Purkinje fibers (choice C) are specialized cardiac fibers responsible for the rapid conduction of impulses to the myocardial cells, and the atria (choice D) are the upper chambers of the heart involved in receiving blood from the veins.
3. What is a condition where the walls of the arteries in the lungs become thickened and stiff, leading to increased blood pressure in the pulmonary arteries?
- A. Pulmonary hypertension
- B. Pulmonary fibrosis
- C. Pulmonary embolism
- D. Pulmonary edema
Correct answer: A
Rationale: Pulmonary hypertension is a condition characterized by the thickening and stiffening of the arteries in the lungs, resulting in elevated blood pressure in the pulmonary arteries. This condition is distinct from the other choices provided. Pulmonary fibrosis involves scarring of lung tissue, pulmonary embolism is a blockage in the pulmonary artery, and pulmonary edema is the accumulation of fluid in the lungs.
4. What is the average cardiac output?
- A. Approximately 4 to 6 L per minute
- B. Approximately 4 to 8 L per minute
- C. Approximately 5 to 8 L per minute
- D. Approximately 3 to 7 L per minute
Correct answer: B
Rationale: The correct answer is B: Approximately 4 to 8 L per minute. Cardiac output is defined as the volume of blood the heart pumps per minute, typically ranging between 4 to 8 liters. Choices A, C, and D provide ranges that are either too narrow or outside the standard average values for cardiac output, making them incorrect.
5. What structure separates the left and right sides of the heart?
- A. Interventricular septum
- B. Endocardium
- C. Epicardium
- D. Pericardium
Correct answer: A
Rationale: The interventricular septum is the correct answer as it is the wall that separates the left and right sides of the heart, ensuring the oxygenated and deoxygenated blood do not mix. The endocardium is the inner lining of the heart chambers, the epicardium is the outermost layer of the heart wall, and the pericardium is the sac that surrounds the heart, providing protection and anchoring the heart in place. Therefore, choices B, C, and D are incorrect in the context of separating the left and right sides of the heart.
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