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. Which surgical procedure involves opening or replacing a narrowed or blocked heart valve?
- A. Valve replacement
- B. Angioplasty
- C. Stent placement
- D. Coronary bypass surgery
Correct answer: A
Rationale: Valve replacement is the correct answer because it specifically involves surgically replacing a damaged or diseased heart valve with a prosthetic valve to address narrowing or blockage, thereby improving blood flow and heart function. Angioplasty (choice B) is a procedure to widen narrowed or obstructed arteries, typically using a balloon catheter. Stent placement (choice C) involves inserting a mesh tube to support a weakened artery. Coronary bypass surgery (choice D) is a procedure to create new routes for blood flow to the heart muscle by bypassing blocked arteries.
3. What is an acute respiratory infection that inflames the alveoli in one or both lungs, causing them to fill with fluid or pus?
- A. Pneumonia
- B. Bronchitis
- C. Tuberculosis
- D. Asthma
Correct answer: A
Rationale: Pneumonia is the correct answer because it is an acute respiratory infection that inflames the alveoli in one or both lungs, leading to the accumulation of fluid or pus. This condition presents with symptoms like cough, fever, and difficulty breathing. Bronchitis is the inflammation of the bronchial tubes, not the alveoli. Tuberculosis is a bacterial infection that primarily affects the lungs but does not always result in alveolar inflammation. Asthma is a chronic respiratory condition characterized by airway inflammation and narrowing, not alveolar inflammation.
4. Which heart chamber ejects blood into the lungs via the pulmonary artery?
- A. Right atrium
- B. Left atrium
- C. Right ventricle
- D. Left ventricle
Correct answer: C
Rationale: The correct answer is C, the right ventricle. The right ventricle is responsible for pumping deoxygenated blood into the lungs through the pulmonary artery for oxygenation. Choices A, B, and D are incorrect because the right atrium receives deoxygenated blood from the body, the left atrium receives oxygenated blood from the lungs, and the left ventricle pumps oxygenated blood to the body, respectively.
5. The client is receiving digoxin and has a potassium level of 2.8 mEq/L. What is the nurse’s priority action?
- A. Hold the digoxin and notify the healthcare provider.
- B. Increase the dose of digoxin.
- C. Continue the current dose of digoxin.
- D. Administer potassium supplements.
Correct answer: A
Rationale: The correct answer is to hold the digoxin and notify the healthcare provider. A potassium level of 2.8 mEq/L indicates hypokalemia, which can increase the risk of digoxin toxicity. Holding the medication and informing the healthcare provider is crucial to prevent adverse effects. Choice B is incorrect because increasing the dose of digoxin would further raise the risk of toxicity. Choice C is incorrect as continuing the current dose could exacerbate the toxicity risk. Choice D is incorrect because administering potassium supplements alone is not sufficient to address the potential digoxin toxicity; the first step should be to hold the digoxin and seek further guidance.
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