ATI RN
Med-Surg Cardiovascular Test Bank Questions
Question 1 of 5
The nurse suspects the patient is in cardiogenic shock based upon which of the following findings?
Correct Answer: A
Rationale: Cardiogenic shock is caused by a decrease in the pumping ability of the myocardium. Decreased or muffled heart sounds would be indicative of fluid restricting the pericardial sac, causing the heart to beat ineffectively.
Question 2 of 5
Explain in detail the nursing management of Acute Myocardial Infarction.
Correct Answer: D
Rationale: Nursing care involves continuous monitoring, medication administration, and psychological support.
Question 3 of 5
During treatment with tissue plasminogen activator (tPA) for a patient with a ST segment elevation MI, the nurse is most concerned on finding
Correct Answer: B
Rationale: Decreasing level of consciousness may reflect hypoxemia resulting from internal bleeding, always a risk with fibrinolytic therapy.
Question 4 of 5
The nurse suspects the patient is in cardiogenic shock based upon which of the following findings?
Correct Answer: A
Rationale: Cardiogenic shock is caused by a decrease in the pumping ability of the myocardium. Decreased or muffled heart sounds would be indicative of fluid restricting the pericardial sac, causing the heart to beat ineffectively.
Question 5 of 5
The patient has used sublingual nitroglycerin and various long-acting nitrates but now has an ejection fraction of 38% and is considered at a high risk for a cardiac event. Which medication would first be added for vasodilation and to reduce ventricular remodeling?
Correct Answer: B
Rationale: ACE inhibitors improve ventricular remodeling.