ATI RN
ATI RN Custom Cardiovascular Med Surg Questions
Question 1 of 5
While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?
Correct Answer: Furosemide is a diuretic that can cause the body to lose potassium, so it's important to consume potassium-rich foods. The other statements are correct regarding blood pooling, medication adherence, and orthostatic hypotension.
Rationale:
Question 2 of 5
Which data indicates to the nurse that the patient with stable angina is experiencing a side effect of metoprolol?
Correct Answer: Metoprolol is a beta-blocker that can lower blood pressure, so a blood pressure of 90/54 mm Hg could indicate a side effect of this medication. Feeling anxious, normal sinus rhythm, and restlessness/agitation are not typical side effects of metoprolol.
Rationale:
Question 3 of 5
A patient who has heart failure recently started taking digoxin in addition to furosemide and captopril. Which finding by the home health nurse is a priority to communicate to the health care provider?
Correct Answer: A serum potassium level of 3.0 mEq/L is below the normal range (3.5-5.0 mEq/L), indicating hypokalemia, which can cause serious complications, especially with digoxin. Weight increase, liver palpation, and edema are concerning but less urgent.
Rationale:
Question 4 of 5
The nurse is administering a thrombolytic agent to a patient having an acute myocardial infarction. Which patient data indicates that the nurse should stop the drug infusion?
Correct Answer: Bleeding from the gums can be a sign of excessive bleeding, which is a major risk of thrombolytic therapy. This would be a reason to stop the drug infusion. Ventricular tachycardia, decreased consciousness, and increased blood pressure are not specific indicators to stop the infusion.
Rationale:
Extract:
Nurses' Notes
0700:
Adolescent alert and oriented, resting in bed in supine position with their legs straight.
Pressure dressing to right femoral area dry and intact.
Bilateral lower extremities warm to touch with equal posterior tibial and dorsalis pedis pulses palpated.
Reports pain as 0 on a scale of 0 to 10. 0730: Adolescent awake, resting in supine position with their legs straight.
Dressing to right femoral area saturated with bloody drainage.
Posterior tibial and dorsalis pedis pulses of right extremity 2+. Right lower extremity cool and pale in color.
Reports pain as 2 on a scale of 0 to 10.
Vital Signs
0700:
• Blood pressure 120/76 mm Hg. Apical pulse rate 90/min.
• Respiratory rate 16/min.
• Temperature 36.6° C (97.9° F). 0730: Blood pressure 100/52 mm Hg. Apical pulse rate 112/min.
• Respiratory rate 18/min.
• Temperature 36.7° C (98.1° F).
Medical History
• Adolescent has no significant past medical history.
• Adolescent was playing basketball last night when they suddenly "passed out" on the court.
• No significant maternal or paternal medical history.
Question 5 of 5
A nurse is caring for an adolescent following a cardiac catheterization. Which of the following assessment findings should the nurse report to the provider?
Correct Answer: Decreased pulses, saturated dressing, significant drop in blood pressure, and cool/pale extremity indicate potential bleeding or vascular complications post-catheterization, requiring immediate reporting. Pulse, position, pain, and respiratory rate changes are less critical.
Rationale: