ATI RN
ATI Rn 46 Med Surg Exam Questions
Question 1 of 5
A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?
Correct Answer: B
Rationale: An echocardiogram is the most specific test for cardiac tamponade, visualizing fluid in the pericardial sac and its impact on heart function. ECG, CT, and chest x-ray are less definitive for this diagnosis.
Question 2 of 5
The nurse recognizes the patient has clinical manifestations of left sided heart failure when noticing the following during the assessment
Correct Answer: B
Rationale: Crackles in the lungs indicate fluid accumulation from left-sided heart failure. Hepatomegaly, peripheral edema, and distended neck veins are associated with right-sided heart failure.
Question 3 of 5
What effect does valvular regurgitation have on a patient?
Correct Answer: B
Rationale: Valvular regurgitation causes backward blood flow, leading to volume overload in the prior chamber. Fever, autoimmune reactions, and vessel narrowing are not direct effects.
Question 4 of 5
The nurse is obtaining a health history from a 24-year-old patient with hypertrophic cardiomyopathy. Which information obtained by the nurse is most important in planning care?
Correct Answer: C
Rationale: A family history of sudden cardiac death indicates a high risk for similar outcomes in hypertrophic cardiomyopathy, critical for care planning. Infections, CAD, and past cocaine use are less directly relevant.
Question 5 of 5
A patient admitted with diagnosis of pericarditis develops hypotension, shortness of breath, tachycardia, distended neck veins. Which of the following procedures with the nurse anticipate assisting for this emergent situation?
Correct Answer: B
Rationale: Pericardiocentesis removes excess fluid from the pericardial space in cardiac tamponade, relieving heart compression. Endovascular grafts, echocardiograms, and peritoneal dialysis are not appropriate for this emergency.