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ATI LPN · Medical Surgical Nursing · Cardiovascular Med Surg Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute decompensated heart failure (ADHF) with severe orthopnea. Which clinical finding is the best indicator that the treatment has been effective?

A. Weight loss of 2 lb in 24 hours

B. Hourly urine output greater than 60 mL

C. Reduction in patient complaints of chest pain

D. Reduced dyspnea with the head of bed at 30 degrees

Expert Explanatory Rationale

Correct Answer: Reduced dyspnea with the head of bed at 30 degrees

Question 2 of 5

In a 62 year old man who has been a roofer for 25 years and a smoker for 10 years, which of the following cancers would he be most likely prone to developing?

A. Pleural mesothelioma

B. Primary lung cancer

C. Laryngeal carcinoma

D. Oral cancer

Expert Explanatory Rationale

Correct Answer: Pleural mesothelioma

Question 3 of 5

After receiving change-of-shift report on a heart failure unit, which patient should the nurse assess first?

A. Patient who is taking carvedilol (Coreg) and has a heart rate of 58

B. Patient who is taking digoxin and has a potassium level of 3.1 mEq/L

C. Patient who is taking captopril and has a frequent nonproductive cough

D. Patient who is taking isosorbide dinitrate/hydralazine (BiDil) and has a headache

Expert Explanatory Rationale

Correct Answer: Patient who is taking digoxin and has a potassium level of 3.1 mEq/L

Question 4 of 5

A 62-year-old female with a history of hyperlipidemia and hypothyroidism. Her current medication includes cholestyramine and levothyroxine. What advice would you tell her to do to prevent drug-drug interactions between them?

A. Stop taking her levothyroxine as it can interact with cholestyramine

B. Take levothyroxine 1 hour before cholestyramine on an empty stomach

C. Switch cholestyramine to colestipol as this will eliminate the interaction

D. Take levothyroxine and cholestyramine at the same time to minimize the interaction

Expert Explanatory Rationale

Correct Answer: Take levothyroxine 1 hour before cholestyramine on an empty stomach

Question 5 of 5

What lab result requires immediate intervention in a patient taking lisinopril for heart failure?

A. Potassium 5.8 mEq/L.

B. Sodium 135 mEq/L.

C. Creatinine 1.0 mg/dL.

D. Hemoglobin 13 g/dL.

Expert Explanatory Rationale

Correct Answer: Potassium 5.8 mEq/L.

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