ATI RN
ATI Cardiovascular Test Bank Questions
Question 1 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 2 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.
Question 3 of 5
A patient has multiple saw-toothed P waves at a rate of 300 beats per minute. This patient's rhythm is most likely
Correct Answer: C
Rationale: The correct answer is C: Atrial flutter. A saw-toothed appearance of P waves at a rate of 300 bpm is characteristic of atrial flutter. In atrial flutter, the atria depolarize at a rapid rate, leading to a typical saw-tooth pattern on ECG. Paroxysmal atrial tachycardia (PAT) typically presents with sudden onset and termination of a regular tachycardia, not saw-toothed P waves. Premature atrial contractions (PACs) are early atrial depolarizations, not sustained at 300 bpm. Atrial fibrillation is characterized by irregularly irregular rhythm with no discernible P waves.
Question 4 of 5
A physical assessment finding that the nurse would expect to be present in the patient with acute left sided heart failure is
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
An otherwise healthy 28-year-old woman has just been diagnosed with stage 1 hypertension. The patient is 5'6"tall and weighs 115 pounds. She says she has a glass of wine once or twice a week and eats "fast food"frequently because of her busy schedule. Which topic will you plan on including in the patient teaching plan?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.