ATI RN
ATI Cardiovascular Test Bank Questions
Question 1 of 5
A client has just returned from cardiac catheterization. Which nursing intervention would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Monitor peripheral pulses. After cardiac catheterization, monitoring peripheral pulses is crucial to assess for any signs of complications such as decreased blood flow or vascular compromise. This intervention helps in early detection of potential issues and ensures prompt intervention if needed. A: Helping the client ambulate to the bathroom may be appropriate but monitoring peripheral pulses takes priority for assessing immediate complications post-cardiac catheterization. B: Fluid restriction is not indicated unless specifically prescribed by the healthcare provider. It is not a standard nursing intervention post-cardiac catheterization. D: Inserting an indwelling urinary catheter is not a priority intervention after cardiac catheterization unless there are specific indications such as monitoring urine output closely. Monitoring peripheral pulses takes precedence in this scenario.
Question 2 of 5
An infant is diagnosed with patent ductus arteriosus. Which drug should the nurse anticipate administering to attempt to close the defect?
Correct Answer: D
Rationale: The correct answer is D: Indomethacin (Indocin). Indomethacin is a prostaglandin inhibitor that helps close the patent ductus arteriosus in infants by constricting the ductus arteriosus. This drug is specifically used for this purpose due to its mechanism of action. Digoxin (A) is a cardiac glycoside used for heart conditions, not to close PDA. Prednisone (B) is a corticosteroid that does not have a direct effect on closing PDA. Furosemide (C) is a diuretic used for managing fluid overload, not for closing PDA.
Question 3 of 5
The nurse is caring for a client with a dignosis of aortic stenosis. The client reports episodes of angina and passing out recently at home. The client has surgery scheduled in 2 weeks. Which of the following would be the nurse's best explanation about activity at this time?
Correct Answer: A
Rationale: The correct answer is A because in aortic stenosis, there is an obstruction of blood flow from the heart to the body. Strenuous activities can worsen the condition by increasing the workload on the heart, leading to angina and fainting. Preoperative preparation focuses on reducing the risk of complications during surgery. Therefore, advising the client to avoid strenuous exercise, stairs, and lifting helps minimize the risk of exacerbating symptoms and potential complications before surgery. Explanation for other choices: B: Taking short walks may be too strenuous for a client with aortic stenosis and can potentially worsen symptoms. C: Allowing unrestricted activity can be dangerous for a client with aortic stenosis, as it may lead to worsening symptoms and increased risk of complications. D: Gradually increasing activity can be risky for a client with aortic stenosis, as it can increase the workload on the heart and exacerbate symptoms.
Question 4 of 5
Which of the following clients is most at risk for developing a deep-vein thrombosis?
Correct Answer: C
Rationale: The correct answer is C. A 40-year-old woman who smokes and uses oral contraceptives is at highest risk due to the combined effects of smoking and oral contraceptives, both of which increase the risk of blood clot formation. Smoking damages blood vessels and increases clotting tendency. Oral contraceptives also increase the risk of clotting due to hormonal changes. These factors can lead to the development of deep-vein thrombosis. Summary: A: 30-year-old postpartum client is at lower risk compared to smoking and oral contraceptive use. B: 63-year-old post-CVA on anticoagulant therapy is already being treated to prevent clots. D: 41-year-old female post-surgery is at lower risk compared to smoking and oral contraceptive use.
Question 5 of 5
A patient is admitted in acute distress with unrelieved back pain that radiates to his groin. This patient has a history of abdominal aortic aneurysm (AAA). What additional signs and symptoms might the patient state?
Correct Answer: B
Rationale: The correct answer is B: Bruit to left of the midline in the abdominal area. This is indicative of a possible ruptured AAA, as a bruit in the abdominal area can suggest turbulent blood flow due to an aneurysm. The other choices are incorrect because: A) Midsternal chest pressure relieved with nitroglycerin paste is more indicative of cardiac issues; C) Extreme headache is not typically associated with AAA; D) Numbness and tingling in the hands and arms are more suggestive of neurological issues rather than AAA. In summary, the presence of a bruit in the abdominal area is a key sign that should raise suspicion for a ruptured AAA in this patient.