ATI RN
Cardiovascular System Exam
1. What condition involves the heart's electrical system malfunctioning, causing very fast heartbeats originating from the ventricles?
- A. Ventricular tachycardia
- B. Atrial fibrillation
- C. Supraventricular tachycardia
- D. Bradycardia
Correct answer: A
Rationale: Ventricular tachycardia is the correct answer. It is a condition characterized by the heart's electrical system malfunctioning, leading to very fast heartbeats originating from the ventricles. Ventricular tachycardia can be life-threatening as it may progress to ventricular fibrillation, causing cardiac arrest. Atrial fibrillation (choice B) involves rapid, irregular beating of the atria, not the ventricles. Supraventricular tachycardia (choice C) originates above the ventricles and does not involve ventricular malfunction. Bradycardia (choice D) is the opposite of tachycardia, characterized by an abnormally slow heart rate.
2. Which pathophysiologic process causes the decreased glomerular filtration rate in a patient with acute glomerulonephritis?
- A. Decreased renal-induced constriction of the renal arteries
- B. Immune complex deposition, increased capillary permeability, and cellular proliferation
- C. Necrosis of 70% or more of the nephrons secondary to increased kidney interstitial hydrostatic pressure
- D. Scar tissue formation throughout the proximal convoluted tubule secondary to toxin-induced collagen synthesis
Correct answer: B
Rationale: The correct answer is B: Immune complex deposition, increased capillary permeability, and cellular proliferation. In acute glomerulonephritis, immune complexes deposit in the glomerulus, leading to inflammation, increased capillary permeability, and cellular proliferation. These processes collectively reduce the glomerular filtration rate. Choices A, C, and D do not accurately describe the pathophysiologic process in acute glomerulonephritis. Decreased renal-induced constriction of the renal arteries, necrosis of nephrons due to increased kidney interstitial hydrostatic pressure, and scar tissue formation in the proximal convoluted tubule are not the primary mechanisms responsible for the decreased filtration rate in this condition.
3. A client has a new prescription for Labetalol. Which of the following instructions should be included?
- A. Take this medication at bedtime.
- B. Avoid sudden discontinuation of the medication.
- C. Increase your intake of sodium-rich foods.
- D. Avoid drinking grapefruit juice.
Correct answer: B
Rationale: The correct answer is to instruct the client to avoid sudden discontinuation of Labetalol. Abrupt discontinuation of beta-blockers like Labetalol can lead to rebound hypertension and other cardiac issues. It is important for clients to taper off the medication under healthcare provider guidance to prevent potential complications.
4. Dr. Langley's work is devoted to understanding constancy and change throughout the lifespan. Dr. Langley's field of study is __________.
- A. genetics
- B. clinical psychology
- C. adolescent development
- D. developmental science
Correct answer: D
Rationale: Dr. Langley's work being focused on understanding constancy and change throughout the lifespan aligns with the field of developmental science, which studies how individuals grow and change from birth through old age. This field encompasses the study of physical, cognitive, social, emotional, and other aspects of development across the lifespan. Choice A, genetics, primarily focuses on the study of genes, heredity, and genetic variation, which is not directly related to understanding constancy and change throughout the lifespan. Choice B, clinical psychology, concentrates on the diagnosis and treatment of mental, emotional, and behavioral disorders rather than the broader study of development across the lifespan. Choice C, adolescent development, is more specific and limited in scope compared to the comprehensive study of development across the entire lifespan, which is the focus of developmental science.
5. A client who has dumping syndrome following a hemi-colectomy should avoid which of the following foods when receiving nutritional teaching from a nurse?
- A. Rice
- B. Poached eggs
- C. Fresh apples
- D. White bread
Correct answer: C: Fresh apples
Rationale: Fresh apples should be avoided by a client with dumping syndrome following a hemi-colectomy because they are high in fiber and can exacerbate gastrointestinal symptoms such as diarrhea and bloating. Rice and poached eggs are good options as they are easily digestible and less likely to trigger dumping syndrome symptoms. White bread is also preferable over whole grain bread due to its lower fiber content, making it a better choice for individuals with dumping syndrome.
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