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 impaired circulation or complications such as arterial occlusion. This intervention helps to detect early warning signs and prevent potential complications. A: Helping the client ambulate to the bathroom is important for mobility but not the most critical intervention post-cardiac catheterization. B: Fluid restriction is not typically indicated after cardiac catheterization unless specifically ordered by the healthcare provider. D: Inserting an indwelling urinary catheter is not necessary unless there is a specific indication such as urinary retention. Monitoring peripheral pulses takes priority for assessing circulation status.
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: Step-by-step rationale for choosing D (Indomethacin): 1. Indomethacin is a prostaglandin inhibitor that helps close the patent ductus arteriosus by constricting the blood vessel. 2. The ductus arteriosus is a connection between the aorta and pulmonary artery in fetuses that should close after birth. 3. By inhibiting prostaglandin production, Indomethacin promotes closure of the ductus arteriosus in infants with patent ductus arteriosus. 4. Digoxin (Choice A) is a cardiac glycoside used for heart failure; Prednisone (Choice B) is a corticosteroid; Furosemide (Choice C) is a diuretic - none of these medications close the ductus arteriosus like Indomethacin.
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 strenuous activities can worsen aortic stenosis symptoms like angina and syncope. Stairs and lifting can increase the workload on the heart, which is already compromised in aortic stenosis. By avoiding these activities, the client reduces the risk of complications before surgery. Choice B is incorrect because although some activity is encouraged, taking short walks may not be appropriate if the client is experiencing angina and syncope. Choice C is incorrect because waiting for angina to reoccur before taking action can be dangerous, as it may indicate worsening of the condition. Choice D is incorrect because gradually increasing activity may not be safe for someone with aortic stenosis, as it can exacerbate symptoms and increase the risk of complications.
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 because smoking and oral contraceptive use are both risk factors for developing deep-vein thrombosis (DVT). Smoking increases the risk of blood clot formation, while oral contraceptives can also contribute to blood clot formation. The combination of these two factors significantly increases the likelihood of developing DVT. Choice A is less likely to develop DVT as being young and postpartum does not carry as high a risk compared to the other options. Choice B, although on anticoagulant therapy, is at a lower risk compared to Choice C due to the specific risk factors mentioned. Choice D, having undergone laparoscopic cholecystectomy, has a lower risk compared to Choice C as surgery alone is not as significant a risk factor for DVT as 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 AAA complication, such as a rupture or impending rupture. A bruit in the abdominal area can signify turbulent blood flow due to the AAA. The other choices are incorrect as they do not directly relate to the symptoms of AAA. Choice A is more indicative of cardiac issues, choice C suggests a possible neurological problem, and choice D is more related to cervical spine issues. Hence, choice B is the most relevant additional sign and symptom in this scenario.