ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Encouraging the client to express fears allows emotional support and assessment. Providing health advice, dismissing fears, or referring to a physician too soon misses the opportunity for immediate support.
Question 2 of 5
The nurse recognizes which of the following as a risk factor for obstructive sleep apnea?
Correct Answer: C
Rationale: Obesity is correct. Excess weight, particularly around the neck, increases the risk of airway obstruction during sleep, making obesity a major risk factor for obstructive sleep apnea. Deep vein thrombosis is not a known risk factor. Being female is incorrect as obstructive sleep apnea is more common in males. Atherosclerosis is not a direct risk factor, though untreated sleep apnea can contribute to cardiovascular issues.
Question 3 of 5
A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hepatomegaly is correct. Right-sided heart failure leads to systemic venous congestion, which can cause liver enlargement (hepatomegaly), ascites, and peripheral edema. Dizziness is more commonly associated with left-sided heart failure due to decreased cardiac output. Crackles in the lungs and dry hacking cough are symptoms of left-sided heart failure due to pulmonary congestion.
Question 4 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 5 of 5
The nurse is providing care to a client with a suspected pulmonary embolism. Which of the following is not a manifestation of a pulmonary embolism?
Correct Answer: D
Rationale: Facial weakness is not a typical sign of pulmonary embolism. Hemoptysis, tachycardia, and even petechiae (in rare cases like fat embolism) can be associated, but facial weakness is more indicative of stroke or Bell's palsy.