ATI RN
Physical Exam Cardiovascular System
1. Which condition is an infection that inflames the air sacs in one or both lungs, which may fill with fluid?
- A. Pneumonia
- B. Bronchitis
- C. Tuberculosis
- D. Cystic fibrosis
Correct answer: A
Rationale: The correct answer is A, Pneumonia. Pneumonia is an infection that inflames the air sacs in the lungs, which may fill with fluid or pus, causing symptoms like cough, fever, and difficulty breathing. Bronchitis (choice B) is an inflammation of the bronchial tubes, not the air sacs in the lungs. Tuberculosis (choice C) is a bacterial infection that primarily affects the lungs but does not always cause fluid accumulation in the air sacs. Cystic fibrosis (choice D) is a genetic disorder that affects the lungs but does not directly cause inflammation of the air sacs with fluid.
2. Which medication relaxes the muscles around the airways, making it easier to breathe?
- A. Bronchodilator
- B. Corticosteroid
- C. Antihistamine
- D. Mucolytic
Correct answer: A
Rationale: The correct answer is A, Bronchodilator. Bronchodilators are medications that relax the muscles surrounding the airways, which helps to open them and makes breathing easier. Corticosteroids (choice B) work by reducing inflammation, antihistamines (choice C) are used to manage allergies, and mucolytics (choice D) help to break down and thin mucus in the airways.
3. Which of the following is a chronic condition where the heart muscle is weakened and unable to pump blood effectively, often leading to heart failure?
- A. Dilated cardiomyopathy
- B. Hypertrophic cardiomyopathy
- C. Restrictive cardiomyopathy
- D. Myocarditis
Correct answer: A
Rationale: Dilated cardiomyopathy is characterized by the heart muscle being weakened and unable to pump blood effectively, ultimately resulting in heart failure. Choice B, Hypertrophic cardiomyopathy, involves the heart muscle becoming abnormally thick, reducing the heart's efficiency. Choice C, Restrictive cardiomyopathy, refers to the heart becoming rigid and less able to fill with blood properly. Myocarditis, as in Choice D, is inflammation of the heart muscle usually caused by a viral infection and is different from the chronic weakening seen in dilated cardiomyopathy.
4. What is a condition where the blood supply to the brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients?
- A. Stroke
- B. Transient ischemic attack (TIA)
- C. Myocardial infarction
- D. Angina
Correct answer: A
Rationale: A stroke is the correct answer. A stroke occurs when the blood supply to part of the brain is interrupted or reduced, leading to a lack of oxygen and nutrients to the brain tissue, causing brain damage. Choices B, C, and D are incorrect because a transient ischemic attack (TIA) is a temporary blockage of blood flow to the brain with no lasting damage, myocardial infarction is a heart attack due to blockage of blood flow to the heart muscle, and angina is chest pain caused by reduced blood flow to the heart.
5. The client on spironolactone should avoid which of the following?
- A. Foods high in potassium
- B. Foods high in sodium
- C. Foods high in calcium
- D. Foods high in chloride
Correct answer: A
Rationale: The correct answer is A: Foods high in potassium. Spironolactone is a potassium-sparing diuretic, meaning it helps the body retain potassium and excrete sodium. Consuming foods high in potassium while on spironolactone can lead to an excess of potassium in the body, potentially causing hyperkalemia. Choices B, C, and D are incorrect because spironolactone does not directly interact with sodium, calcium, or chloride in a way that would require specific dietary restrictions related to these minerals.
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