ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
A client came into the emergency room with a possible myocardial infarction. The provider orders a series of blood tests to be drawn, which lab should the nurse anticipate will be drawn?
Correct Answer: C
Rationale: Troponin is correct. Cardiac-specific troponins are the gold standard for detecting myocardial injury, crucial for diagnosing myocardial infarction. BNP, LDH, and creatinine are not primary markers for MI.
Question 2 of 5
Which statement indicates to the nurse the client diagnosed with sleep apnea needs further teaching?
Correct Answer: A
Rationale: Alcohol relaxes throat muscles, worsening obstructive sleep apnea, even with CPAP use. The other statements are accurate regarding CPAP benefits and weight loss.
Question 3 of 5
A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?
Correct Answer: A
Rationale: Metformin is correct. The combination of iodinated contrast dye and metformin increases the risk of contrast-induced nephropathy and lactic acidosis, especially in clients with kidney dysfunction. Nitroglycerin, atorvastatin, and carvedilol do not interact significantly with contrast dye.
Question 4 of 5
The nurse is providing care for a client admitted to rule out a myocardial infarction who is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?
Correct Answer: B
Rationale: Having the client sit down immediately is correct. Stopping activity reduces cardiac workload and oxygen demand, preventing further ischemia. Other actions follow after ensuring the client is seated.
Question 5 of 5
A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?
Correct Answer: C
Rationale: Smoking cessation is the most effective measure for preventing chronic bronchitis, which is strongly linked to long-term cigarette smoking. Influenza immunization, exercise, and weight maintenance are beneficial but not primary preventive measures.