ATI RN
Physical Exam Cardiovascular System
1. What test evaluates the heart's response to physical stress, often involving exercise on a treadmill while monitoring the heart?
- A. Stress test
- B. Echocardiogram
- C. Holter monitor
- D. CT angiography
Correct answer: A
Rationale: A stress test, also known as an exercise stress test, evaluates the heart's response to physical stress by monitoring its activity during exercise, typically on a treadmill. This test helps assess the heart's performance, detect coronary artery disease, and evaluate the effectiveness of heart treatments. Echocardiogram (choice B) is an ultrasound of the heart that provides detailed images of the heart's structure and function, but it does not involve physical stress like a stress test. Holter monitor (choice C) is a device for continuously monitoring the heart's rhythm and rate over a period (usually 24-48 hours), not during exercise. CT angiography (choice D) is a diagnostic test that uses X-rays to visualize blood vessels but does not involve physical stress like a stress test.
2. What is a condition where blood clots form in the deep veins, usually in the legs, and can travel to the lungs, causing serious complications?
- A. Deep vein thrombosis (DVT)
- B. Pulmonary embolism
- C. Varicose veins
- D. Peripheral artery disease
Correct answer: A
Rationale: The correct answer is A, Deep vein thrombosis (DVT). Deep vein thrombosis occurs when blood clots form in the deep veins, usually in the legs, and these clots can potentially travel to the lungs, leading to a pulmonary embolism. Pulmonary embolism (choice B) is a serious complication that can result from untreated DVT. Varicose veins (choice C) and peripheral artery disease (choice D) are not directly related to the formation of blood clots in deep veins that can lead to pulmonary embolism.
3. Which test measures the electrical activity of the heart and can detect arrhythmias and other heart conditions?
- A. Electrocardiogram (ECG or EKG)
- B. Chest X-ray
- C. MRI
- D. CT scan
Correct answer: A
Rationale: The correct answer is A: Electrocardiogram (ECG or EKG). An electrocardiogram is a test that measures the electrical activity of the heart and can detect arrhythmias and other heart conditions by recording the heart's electrical impulses. Choices B, C, and D are incorrect because a chest X-ray is used to visualize the structures in the chest, an MRI (Magnetic Resonance Imaging) is used to provide detailed images of organs and tissues, and a CT scan (Computed Tomography) is a type of imaging that uses X-rays to create detailed cross-sectional images of the body.
4. What is a surgical procedure to replace a damaged or diseased heart valve with a prosthetic valve?
- A. Valve replacement
- B. Angioplasty
- C. Stent placement
- D. Bypass surgery
Correct answer: A
Rationale: Valve replacement is the correct answer because it involves replacing a damaged or diseased heart valve with a prosthetic valve. This procedure is essential for improving blood flow and heart function. Angioplasty (choice B) is a procedure to widen narrowed or obstructed arteries. Stent placement (choice C) involves inserting a mesh tube to help support weak arteries. Bypass surgery (choice D) is a procedure to create new routes for blood flow when arteries are blocked.
5. What test measures the oxygen level in the blood, often used to monitor patients with respiratory or cardiovascular conditions?
- A. Pulse oximetry
- B. Arterial blood gas (ABG)
- C. Echocardiogram
- D. Chest X-ray
Correct answer: A
Rationale: The correct answer is A, Pulse oximetry. Pulse oximetry is a non-invasive test that measures the oxygen saturation level in the blood, commonly used to monitor respiratory and cardiovascular health. Arterial blood gas (ABG) measures the levels of oxygen and carbon dioxide in the blood, providing more detailed information than pulse oximetry. Echocardiogram is an ultrasound test used to visualize the heart's structure and function, while a chest X-ray is used to visualize the structures in the chest, such as the heart, lungs, and bones.
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