ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client two months after mitral valve replacement. The client complains of malaise, anorexia, weight loss, chills, and fever. The nurse suspects the client may have endocarditis. What other assessment sign is associated with infectious endocarditis?
Correct Answer: D
Rationale: Splinter hemorrhages are a classic sign of endocarditis due to small emboli from infected valves.
Question 2 of 5
A nurse is caring for a client who is in pulseless ventricular tachycardia (V-Tach). The nurse recognizes the need for which priority intervention?
Correct Answer: A
Rationale: Defibrillation is the priority for pulseless V-Tach to restore a normal rhythm.
Question 3 of 5
A nurse is caring for a client who reports shortness of breath and heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse palpates a rapid carotid pulse with a blood pressure of 70/30, and the client reports feeling dizzy. The nurse should anticipate the need for which priority action?
Correct Answer: D
Rationale: Synchronized cardioversion is used for unstable VT with a pulse to prevent inducing ventricular fibrillation.
Question 4 of 5
A nurse is caring for a client diagnosed with infective endocarditis. The nurse is aware that which of the following is the priority assessment finding for this patient?
Correct Answer: A
Rationale: Dysp vap indicates potential heart failure or pulmonary embolism, life-threatening complications of endocarditis.
Extract:
A nurse is assessing a postpartum client.
36-year-old postpartum client who delivered twins via cesarean birth 3 weeks ago.
Reports throbbing pain as 7 on a scale of 0 to 10, swelling, discoloration, and warmth in left calf for two days. Also reports shortness of breath for the last 8 hours,
Question 5 of 5
To confirm a diagnosis of DVT, the nurse anticipates provider orders for ___ and ___
Correct Answer: B,D
Rationale: D-dimer detects clot formation, and venous duplex ultrasound confirms DVT.