ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
A client has chronic obstructive pulmonary disease (COPD) and right-sided heart failure. Which statement by the nurse is correct?
Correct Answer: A
Rationale: Eating six small meals a day limits oxygen demand during digestion and prevents bloating, aiding breathing. Excessive fluids, lying down, and protein intake adjustments are not appropriate.
Question 2 of 5
A nurse is caring for a client who has a closed chest tube system. Which of the following actions should the nurse take after noticing a rise in the water seal chamber with client inspiration? Utilize image to see area that is being described.
Correct Answer: C
Rationale: Continue to monitor the client is correct. Tidaling (rise in water seal with inspiration) is a normal finding, indicating proper chest tube function. Notifying the provider, clamping the tube, or repositioning are unnecessary unless abnormal findings occur.
Question 3 of 5
A nurse is teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause obstructive sleep apnea (OSA)?
Correct Answer: D
Rationale: Enlarged tonsils are correct. They can block the airway, causing OSA. Heart failure and opioid overdose are linked to central sleep apnea, and brainstem injury affects respiratory drive but not OSA directly.
Question 4 of 5
Which of the following is a complication of heart failure?
Correct Answer: A
Rationale: Pleural effusion is a common complication of heart failure. Increased pulmonary circulation pressure causes fluid accumulation in the pleural space. Infection, asthma, and hemorrhage are not direct complications of heart failure.
Question 5 of 5
A client with a diagnosis of heart failure is admitted to the cardiac unit. Which intervention should the nurse complete first?
Correct Answer: C
Rationale: Auscultating the lung and heart sounds is correct. In heart failure, pulmonary congestion and fluid overload can lead to respiratory distress. Immediate assessment for crackles, wheezing, or abnormal heart sounds evaluates for acute decompensation. Drawing a BMP, obtaining a health history, and assessing pulse and temperature are important but secondary to assessing for immediate respiratory or cardiac compromise.