ATI RN
Cardiovascular System Exam
1. What is the ability of cardiac cells to respond to an impulse by contracting?
- A. Excitability
- B. Contractility
- C. Rhythmicity
- D. Conductivity
Correct answer: A
Rationale: Excitability is the correct term that describes the ability of cardiac cells to respond to an impulse by contracting. Excitability refers to the cell's ability to respond to stimuli and generate an action potential. Choice B, Contractility, is incorrect as it refers to the ability of cardiac cells to contract after receiving a stimulus, not the response to the impulse itself. Choice C, Rhythmicity, is incorrect as it pertains to the heart's ability to contract rhythmically without external stimulation. Choice D, Conductivity, is incorrect as it refers to the ability of cardiac cells to transmit an impulse from cell to cell, not the direct response to the impulse by contracting.
2. The client on furosemide (Lasix) is complaining of muscle cramps. What electrolyte imbalance should the nurse suspect?
- A. Hyperkalemia
- B. Hyponatremia
- C. Hypocalcemia
- D. Hypokalemia
Correct answer: D
Rationale: The correct answer is D, Hypokalemia. Muscle cramps are a common symptom of hypokalemia, an electrolyte imbalance characterized by low potassium levels. Furosemide, a loop diuretic like Lasix, can lead to potassium loss in the body, contributing to hypokalemia. Choice A, Hyperkalemia, is incorrect as it refers to high potassium levels. Choice B, Hyponatremia, is incorrect as it pertains to low sodium levels. Choice C, Hypocalcemia, is incorrect as it relates to low calcium levels, not typically associated with muscle cramps in the context of furosemide use.
3. What is the term used to describe a condition where the blood flow to the brain is temporarily interrupted, often referred to as a 'mini-stroke'?
- A. Transient ischemic attack (TIA)
- B. Stroke
- C. Myocardial infarction
- D. Pulmonary embolism
Correct answer: A
Rationale: The correct answer is A: Transient ischemic attack (TIA). A transient ischemic attack (TIA) is often called a 'mini-stroke' because it is characterized by a temporary interruption of blood flow to the brain, resulting in stroke-like symptoms that typically resolve within a short period. Choice B, 'Stroke,' is incorrect because a stroke involves a more prolonged interruption of blood flow, leading to lasting brain damage. Choices C and D, 'Myocardial infarction' and 'Pulmonary embolism,' are unrelated conditions involving the heart and lungs, respectively, and do not describe a temporary interruption of blood flow to the brain.
4. What is a condition where the blood supply to the brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients?
- A. Stroke
- B. Transient ischemic attack (TIA)
- C. Myocardial infarction
- D. Angina
Correct answer: A
Rationale: A stroke is the correct answer. A stroke occurs when the blood supply to part of the brain is interrupted or reduced, leading to a lack of oxygen and nutrients to the brain tissue, causing brain damage. Choices B, C, and D are incorrect because a transient ischemic attack (TIA) is a temporary blockage of blood flow to the brain with no lasting damage, myocardial infarction is a heart attack due to blockage of blood flow to the heart muscle, and angina is chest pain caused by reduced blood flow to the heart.
5. What type of stroke is caused by a blockage in an artery supplying blood to the brain?
- A. Ischemic stroke
- B. Hemorrhagic stroke
- C. Transient ischemic attack
- D. Embolism
Correct answer: A
Rationale: The correct answer is A: Ischemic stroke. Ischemic stroke occurs when a blood clot blocks an artery supplying blood to the brain, leading to brain damage. Choice B, Hemorrhagic stroke, is caused by bleeding in the brain, not a blockage. Choice C, Transient ischemic attack, is a temporary blockage of blood flow to the brain with symptoms similar to a stroke but typically lasting only a few minutes. Choice D, Embolism, refers to a blood clot or other particle that travels through the bloodstream and blocks a blood vessel.
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