ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, 'I always get a rash when I eat shellfish.' Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Notifying the provider is critical as shellfish allergy may indicate iodine sensitivity, affecting contrast dye use.
Question 2 of 5
A nurse is caring for a client with right-sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D,E,F
Rationale: Distended neck veins, edema, fatigue, orthopnea, and rapid weight gain indicate worsening right-sided heart failure.
Question 3 of 5
A nurse is caring for a client with chest pain who becomes unresponsive. The client is pulseless and apneic. The code team places the client on the monitor, which indicates ventricular fibrillation. What is the next priority action?
Correct Answer: B
Rationale: Defibrillation is the immediate priority for ventricular fibrillation to restore a normal rhythm.
Question 4 of 5
A nurse is caring for a client with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?
Correct Answer: A
Rationale: Digoxin, a positive inotrope, increases cardiac contractility, improving output in heart failure.
Question 5 of 5
A nurse is caring for a client who is ordered Potassium 40 mEq IV. On hand is Potassium Chloride 20 mEq/mL. What is the nurse's next action?
Correct Answer: B
Rationale: IV potassium must be diluted and not given undiluted or as IV push to avoid fatal arrhythmias.