ATI RN
Med-Surg Cardiovascular Practice Questions Questions
Question 1 of 5
Before taking hemodynamic measurements, the monitoring equipment must be referenced by
Correct Answer: B
Rationale: Referencing hemodynamic monitoring equipment means positioning the monitoring equipment so that the zero reference point is at the vertical level of the left atrium of the heart.
Question 2 of 5
A 55-year-old patient who is diagnosed with an evolving myocardial infarction (MI) insists on going home. The cardiac-vascular nurse encourages the patient to be admitted because the greatest risk within the first 24 hours of sustaining an MI is:
Correct Answer: D
Rationale: Ventricular fibrillation is a life-threatening arrhythmia that often occurs in the first 24 hours after an MI.
Question 3 of 5
When caring for a patient following a cardiac catheterization with coronary angiography, which of the following findings would be of most concern to the nurse?
Correct Answer: C
Rationale: An absence of pulses distal to the insertion site indicates that clotting around the site is occluding blood flow to the extremity and is an emergency that requires immediate medical attention.
Question 4 of 5
You would expect to find first when auscultating Mrs. Payer's lung fields
Correct Answer: D
Rationale: Rales indicate fluid accumulation in lungs.
Question 5 of 5
A patient diagnosed with CHF will need positive inotropic medication to improve the contractility of the cardiac muscle. Which of the following medications taken by this patient has a positive inotropic effect?
Correct Answer: A
Rationale: Digoxin increases the force of contraction of the heart, improving cardiac output in CHF.