ATI RN
Med-Surg Cardiovascular Test Bank Questions
Question 1 of 5
Which of the following nursing interventions are required when caring for a client who has had cardiac surgery and is at risk for ineffective tissue perfusion?
Correct Answer: B
Rationale: Promoting mobility and avoiding prolonged sitting helps prevent venous stasis and improve tissue perfusion.
Question 2 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 3 of 5
Your interpretation of increased frequency of angina attacks in Mrs. Payer is that
Correct Answer: B
Rationale: Increased frequency suggests worsening ischemia.
Question 4 of 5
When assessing the mental status of a client with cardiac disorders, what does confusion indicate?
Correct Answer: D
Rationale: Confusion in clients with cardiac disorders often indicates reduced blood flow to the brain (cerebral ischemia).
Question 5 of 5
When assessing your patient, you hear an S3 heart sound. You know this is:
Correct Answer: B
Rationale: An S3 heart sound is often associated with ventricular dilation and can be a sign of CHF.