ATI RN
Cardiovascular System Exam Questions
1. Which type of lung cancer is strongly associated with exposure to asbestos?
- A. Mesothelioma
- B. Adenocarcinoma
- C. Squamous cell carcinoma
- D. Small cell lung cancer
Correct answer: A
Rationale: The correct answer is Mesothelioma. This type of lung cancer is indeed strongly associated with exposure to asbestos, affecting the lining of the lungs or abdomen. Adenocarcinoma, Squamous cell carcinoma, and Small cell lung cancer are not primarily linked to asbestos exposure, making them incorrect choices for this question.
2. For what reason might the nurse be given an order to administer milrinone (Primacor)?
- A. For congestive heart failure
- B. For hypertension
- C. For cardiac arrhythmias
- D. For bradycardia
Correct answer: A
Rationale: Milrinone is commonly prescribed for congestive heart failure to help improve cardiac function and alleviate symptoms. Choices B, C, and D are incorrect as milrinone is not typically used for hypertension, cardiac arrhythmias, or bradycardia. It is specifically indicated for congestive heart failure for short-term management.
3. Which of the following is a central vasodilator and peripheral vasoconstrictor?
- A. Sympathetic nervous system
- B. Parasympathetic nervous system
- C. Norepinephrine
- D. Acetylcholine
Correct answer: A
Rationale: The correct answer is the Sympathetic nervous system. The sympathetic nervous system is a branch of the autonomic nervous system that is responsible for the fight-or-flight response. It causes vasodilation in central vessels to increase blood flow to vital organs during stress or exercise, while inducing vasoconstriction in peripheral vessels to redirect blood to essential areas. Norepinephrine and acetylcholine are neurotransmitters associated with the sympathetic and parasympathetic nervous systems, respectively, but they are not themselves central vasodilators and peripheral vasoconstrictors.
4. This is a branch of the left coronary arteries which supplies the LEFT ATRIUM, posterior lateral surface of the left ventricle.
- A. Right coronary artery
- B. Left circumflex artery
- C. Left anterior descending artery
- D. Posterior descending artery
Correct answer: B
Rationale: The correct answer is B, Left circumflex artery. The circumflex artery is a branch of the left coronary artery that supplies blood to the left atrium and the lateral wall of the left ventricle. Choice A, the Right coronary artery, does not supply the mentioned areas. Choice C, the Left anterior descending artery, supplies the anterior wall of the left ventricle. Choice D, the Posterior descending artery, is a branch of the right coronary artery and supplies the inferior wall of the left ventricle and the posterior septum.
5. Which term conceptualizes that the greater the myocardial fiber stretch, within physiologic limits, the more forceful the ventricular contraction, thereby increasing stroke volume?
- A. Frank-Starling’s Law
- B. Automaticity
- C. Contractility
- D. Excitability
Correct answer: A
Rationale: The correct answer is A, Frank-Starling’s Law. This law explains that within physiologic limits, the greater the stretch of myocardial fibers, the more forceful the ventricular contraction, leading to an increased stroke volume. Choice B, Automaticity, refers to the ability of cardiac cells to spontaneously generate electrical impulses. Choice C, Contractility, represents the intrinsic ability of the heart muscle to contract. Choice D, Excitability, refers to the ability of cardiac cells to respond to electrical stimuli.
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