ATI RN
ATI Med Surg Cardiac Exam Questions
Question 1 of 5
A client has undergone diagnostic testing and received a diagnosis of sinus bradycardia. Which interventions are most appropriate and should be included in the client's plan of care? (SELECT ALL THAT APPLY)
Correct Answer: C,D,E
Rationale: Prevention of falls is essential due to the risk of dizziness and syncope. Monitoring heart rate and rhythm ensures detection of worsening bradycardia or arrhythmias. Assessing for neurologic changes is critical as reduced cerebral perfusion can cause confusion or syncope.
Question 2 of 5
A nurse is caring for a client with heart failure who takes furosemide (Lasix) 20 mg daily at home and is receiving 40 mg of furosemide (Lasix) IV daily in the hospital. The nurse is aware that this patient is at risk for which electrolyte imbalance?
Correct Answer: C
Rationale: Furosemide, a loop diuretic, increases potassium excretion, leading to a risk of hypokalemia, which can cause muscle weakness and arrhythmias.
Question 3 of 5
A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics?
Correct Answer: D
Rationale: Thiazide diuretics promote potassium loss, increasing the risk of hypokalemia, which can lead to cardiac dysrhythmias, palpitations, and weakness.
Question 4 of 5
A nurse is providing discharge teaching to a client diagnosed with infective endocarditis with vegetation on the tricuspid valve. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Prophylactic antibiotics before dental procedures prevent bacterial endocarditis recurrence by reducing the risk of bloodstream infections.
Question 5 of 5
A nurse is caring for a client diagnosed with heart failure and atrial fibrillation. The client reports feeling palpitations and shortness of breath. The nurse is aware that clients with atrial fibrillation are at risk for which complication?
Correct Answer: C
Rationale: Atrial fibrillation increases the risk of embolic stroke due to blood pooling in the atria, leading to clot formation that can travel to the brain.