ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A client has undergone diagnostic testing and received a diagnosis of sinus bradycardia. Which interventions are most appropriate and should be included in the client's plan of care? (SELECT ALL THAT APPLY)
Correct Answer: C,D,E
Rationale: Prevention of falls is essential due to the risk of dizziness and syncope. Monitoring heart rate and rhythm ensures detection of worsening bradycardia or arrhythmias. Assessing for neurologic changes is critical as reduced cerebral perfusion can cause confusion or syncope.
Question 2 of 5
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: A 2 lb gain in 24 hours indicates fluid retention, requiring immediate provider notification.
Question 3 of 5
A nurse is caring for a client who is complaining of dyspnea, dizziness, palpitations, and rapid heart rate. ECG shows a narrow complex tachy-dysrhythmia with a rate of 188, Supraventricular Tachycardia (SVT). The nurse is aware that this rapid arrhythmia is best treated with which of the following medications?
Correct Answer: B
Rationale: Adenosine is the first-line treatment for stable SVT, blocking AV node conduction to reset the rhythm.
Question 4 of 5
A nurse is reviewing cardiac rhythms and heart blocks for a critical care course. The nurse is aware that which of the following describes first-degree heart block?
Correct Answer: C
Rationale: First-degree heart block is characterized by a prolonged PR interval (>0.20 seconds) with regular rhythm.
Question 5 of 5
A nurse is caring for a client in a critical care unit who is 4 hours post-operative coronary artery bypass surgery. The nurse performs the reassessment and suspects the client may be developing a pericardial effusion. What assessment findings would the nurse note in this case?
Correct Answer: C
Rationale: Diminished heart sounds are a key sign of pericardial effusion due to fluid accumulation in the pericardial sac muffling heart tones.