ATI RN
Cardiovascular System Exam Questions And Answers
1. What is this surgical procedure that restores blood flow to the heart by diverting blood around a blocked artery?
- A. Coronary artery bypass graft (CABG)
- B. Angioplasty
- C. Stent placement
- D. Valve replacement
Correct answer: A
Rationale: The correct answer is A, Coronary artery bypass graft (CABG), which is a surgical procedure to improve blood flow to the heart by redirecting blood around blocked or narrowed arteries. This procedure is specifically designed to bypass blocked coronary arteries, allowing blood to flow more freely to the heart muscle. Choices B, C, and D are incorrect because angioplasty involves opening up narrowed or blocked blood vessels, stent placement involves inserting a mesh tube to keep arteries open, and valve replacement involves replacing a damaged heart valve - none of which directly address diverting blood flow around a blocked artery.
2. A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for her father. Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure?
- A. Amputation.
- B. Osteoarthritis.
- C. Hypertension.
- D. Primary glaucoma.
Correct answer: C
Rationale: Hypertension is a contraindication for kidney donation because it can negatively impact the donor's health in the long term. Hypertension poses risks during and after the donation procedure, such as affecting kidney function and potentially leading to complications for both the donor and the recipient. Amputation, osteoarthritis, and primary glaucoma are not direct contraindications for kidney donation and would not typically prevent someone from being a living kidney donor.
3. A client who practices Islam and is currently observing dietary restrictions for the month of Ramadan. Which of the following interventions should the nurse include in the plan of care?
- A. Remove pork products from the dietary plan
- B. Facilitate fasting during daylight hours
- C. Serve meat and dairy items together
- D. Provide a low-carb diet on Fridays
Correct answer: B
Rationale: During Ramadan, individuals fast from dawn to sunset. Facilitating fasting during daylight hours respects the dietary practices of clients observing Ramadan. Choice A is incorrect as the dietary restriction during Ramadan involves abstaining from all food and drink during daylight hours, not just beef products. Choice C is incorrect as Muslims generally do not consume meat and dairy together due to religious dietary laws. Choice D is incorrect as providing a low-carb diet on Fridays does not specifically align with the dietary restrictions observed during Ramadan.
4. How is binge-eating disorder different from bulimia?
- A. Typically eat much smaller portions before purging the food.
- B. Do not typically purge the food they eat.
- C. Only purge their food after several binge sessions.
- D. Often resort to anorexic methods to rid themselves of the food they have eaten.
Correct answer: B
Rationale: The correct answer is B because individuals with binge-eating disorder do not typically engage in purging behavior, unlike those with bulimia. Choice A is incorrect as individuals with binge-eating disorder do not purge the food they eat, so they do not eat smaller portions before doing so. Choice C is incorrect as they do not purge their food after several binge sessions. Choice D is incorrect as individuals with binge-eating disorder do not resort to anorexic methods to rid themselves of the food they have eaten.
5. An obstetrician tells a 42-year-old patient that she can have a healthy baby, but that she is of 'advanced maternal age.' The patient is so upset that she fails to listen to the rest of the doctor's advice, goes home in a huff, and immediately dyes her hair.
- A. the age of the sperm.
- B. the age of her eggs.
- C. her risk of developing diabetes.
- D. her cholesterol level, not her appearance.
Correct answer: the age of her eggs.
Rationale: The correct answer is 'the age of her eggs.' As women age, the quality of their eggs decreases, leading to a higher risk of chromosomal abnormalities and infertility. This decline in egg quality is why advanced maternal age is associated with a higher risk of certain pregnancy complications. Choices A, C, and D are incorrect because the primary concern in this context is related to the age-related changes in a woman's eggs, not sperm, diabetes risk, or cholesterol levels.
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