ATI RN
Physical Exam Cardiovascular System Questions
Question 1 of 5
A client on a beta blocker has a heart rate of 52 bpm. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Hold the beta blocker and notify the healthcare provider. With a heart rate of 52 bpm, the client may be experiencing bradycardia, a potential side effect of beta blockers. Holding the medication and informing the healthcare provider is crucial to prevent further complications. Administering the beta blocker (B) can exacerbate bradycardia. Increasing the dose (C) can further decrease the heart rate. Continuing to monitor (D) without intervention can lead to worsening of the bradycardia.
Question 2 of 5
The nurse is administering digoxin to a client with a heart rate of 45 bpm. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Hold the digoxin and notify the healthcare provider. Digoxin is a medication that can slow down the heart rate, and a heart rate of 45 bpm is below the normal range. Holding the medication and informing the healthcare provider is the priority to prevent potential harm from further slowing the heart rate. Administering the digoxin as ordered (B) would worsen the bradycardia. Increasing the dose of digoxin (C) would be dangerous. Monitoring the client's heart rate and reassessing in 30 minutes (D) may delay necessary intervention.
Question 3 of 5
The diagnostic test that is most useful in differentiating the dyspnea related to pulmonary effects of heart failure from the dyspnea of pulmonary disease is
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
You make a home visit to evaluate a hypertensive patient who has been taking enalapril (Vasotec) for 3 weeks. Which information indicates that you need to contact the physician about a change in the drug therapy?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Two weeks ago, a 63-year-old patient with heart failure received a new prescription for carvedilol (Coreg) 3.125 mg orally. Upon evaluation in the outpatient clinic you find these symptoms. Which is of most concern?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.