ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?
Correct Answer: D
Rationale: STEMI is indicated by ST-segment elevation, signaling complete coronary artery occlusion.
Question 3 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 4 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 5 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.