ATI LPN
ATI LPN Med Surg Cardiac Exam Questions
Question 1 of 5
A nurse is collecting data from a client who has left-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Left-sided heart failure causes fluid to back up into the lungs, leading to orthopnea, or shortness of breath when lying down, due to pulmonary congestion.
Question 2 of 5
A nurse is collecting data from the medical record of an older adult client and sees that the client is taking Amiodarone. The client, has reported feeling frequently tired and unable to tolerate the heat. Which of the following conditions should the nurse suspect?
Correct Answer: D
Rationale: Amiodarone can cause hypothyroidism, leading to symptoms such as fatigue and heat intolerance, which aligns with the client's reported symptoms.
Question 3 of 5
A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Initiating oxygen therapy is the priority to address hypoxia, indicated by cyanosis and dyspnea, to prevent further ischemic damage to the heart.
Question 4 of 5
A nurse is reinforcing teaching with an older adult client who has been newly diagnosed with a heart murmur. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: A heart murmur is caused by turbulent blood flow, often through a damaged or abnormal valve, which is the accurate explanation.
Question 5 of 5
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Nausea can indicate digoxin toxicity, which affects heart function, so checking vital signs, particularly heart rate, is the priority to assess for toxicity.