ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Question 1 of 5
The emergency room nurse is assessing a client with jugular venous distention, ascites, shortness of breath, and a 3-pound weight gain in the past 24 hours. Which of the following would the nurse anticipate being ordered?
Correct Answer: C
Rationale: Brain Natriuretic Peptide (BNP) is correct. BNP is a key diagnostic marker for heart failure, indicating increased cardiac filling pressures and volume overload, which match the client's symptoms of jugular venous distention, ascites, shortness of breath, and weight gain. Pulmonary function tests, Alpha-1 antitrypsin, and Doppler ultrasound do not directly assess heart failure.
Question 2 of 5
A nurse is caring for a client who has a pulmonary embolism and has a new order for enoxaparin 1.5 mg/kg/dose to be administered subcutaneously every 12 hours. The client weighs 176 pounds. How many mg should the nurse administer per dose? (Round to the nearest whole number)
Correct Answer: C
Rationale: The correct answer is 120 mg. Convert 176 pounds to kilograms (176 / 2.2 = 80 kg). Calculate the dose: 80 kg × 1.5 mg/kg = 120 mg. This matches the provided correct answer, so option C (120 mg) is correct.
Question 3 of 5
A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?
Correct Answer: D
Rationale: Performing a 12-lead ECG is the most important diagnostic tool for identifying myocardial infarction. It provides real-time evidence of ischemic changes, such as ST-segment elevation or depression, confirming or ruling out an MI. Checking blood pressure, auscultating heart tones, and assessing pain radiation are supportive but not definitive for diagnosing an MI.
Question 4 of 5
A client has chronic obstructive pulmonary disease (COPD) and right-sided heart failure. Which statement by the nurse is correct?
Correct Answer: A
Rationale: Eating six small meals a day limits oxygen demand during digestion and prevents bloating, aiding breathing. Excessive fluids, lying down, and protein intake adjustments are not appropriate.
Question 5 of 5
A client with a history of heart failure on daily weights has a 2-pound weight gain and pitting edema in bilateral lower extremities. Which action should the nurse take next?
Correct Answer: C
Rationale: Performing a head-to-toe assessment, including vital signs, is correct. A 2-pound weight gain and edema suggest fluid retention, requiring assessment for worsening heart failure symptoms like crackles or respiratory distress. Encouraging fluid intake, monitoring without action, or checking code status are not immediate priorities.