ATI RN
Cardiovascular System Exam Questions
1. What type of imaging test uses X-rays to visualize the blood vessels after injecting them with a contrast dye?
- A. Angiography
- B. CT scan
- C. MRI
- D. Ultrasound
Correct answer: A
Rationale: Angiography is the correct answer because it is an imaging test that specifically uses X-rays to visualize blood vessels by injecting them with a contrast dye. This procedure is crucial for diagnosing conditions such as blockages or aneurysms. The other options, CT scan, MRI, and ultrasound, do not involve the use of contrast dye to visualize blood vessels with X-rays.
2. 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.
3. The nurse is giving digoxin to a client. What is the most important parameter to check before administration?
- A. Heart rate
- B. Blood pressure
- C. Respiratory rate
- D. Oxygen saturation
Correct answer: A
Rationale: The correct answer is A: Heart rate. Before administering digoxin, it is crucial to check the client's heart rate because digoxin can cause bradycardia, an abnormally slow heart rate. Monitoring the heart rate is essential to prevent potential complications associated with digoxin therapy. Choices B, C, and D are less critical parameters to assess before administering digoxin. While blood pressure is also important to monitor during digoxin therapy, the most crucial parameter to check due to the medication's potential effect on heart rate is the heart rate itself.
4. The nurse is teaching a client about side effects of ACE inhibitors. What is the most important side effect to monitor?
- A. Cough
- B. Hyperkalemia
- C. Hypotension
- D. Dizziness
Correct answer: A
Rationale: The correct answer is A: Cough. ACE inhibitors commonly cause a persistent dry cough in patients. This side effect is important to monitor because it can indicate the development of angioedema, a serious adverse reaction that requires immediate medical attention. Hyperkalemia (choice B) is a potential side effect of ACE inhibitors but is not typically the most important one to monitor. Hypotension (choice C) and dizziness (choice D) are also possible side effects of ACE inhibitors, but they are not as critical to monitor as the development of a persistent cough.
5. What test measures the electrical activity of the heart and can detect heart rhythm problems?
- A. Electrocardiogram (ECG or EKG)
- B. Chest X-ray
- C. MRI
- D. CT scan
Correct answer: A
Rationale: The correct answer is Electrocardiogram (ECG or EKG). An electrocardiogram is a test that measures the electrical activity of the heart and can detect irregularities in heart rhythm. Choices B, C, and D are incorrect because a chest X-ray, MRI, and CT scan do not specifically measure the electrical activity of the heart or detect heart rhythm problems.
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