ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?
Correct Answer: D
Rationale: Obstructive sleep apnea contributes to hypertension through intermittent hypoxia and increased sympathetic activity, elevating blood pressure.
Question 3 of 5
A nurse is caring for a client with a possible acute myocardial infarction (AMI). The electrocardiogram (ECG) shows no ST segment elevations or depression. The nurse is aware that an elevation of which lab result will determine if there has been cardiac injury?
Correct Answer: A
Rationale: Troponins are the most specific and sensitive markers for myocardial injury, rising within hours of an AMI and confirming cardiac damage.
Question 4 of 5
A nurse is caring for a client who is receiving intravenous heparin therapy for deep vein thrombosis. The nurse evaluates for side effects of this drug by observing for:
Correct Answer: B
Rationale: Petechiae indicate bleeding, a major side effect of heparin, which increases bleeding risk by inhibiting clot formation.
Question 5 of 5
A nurse is caring for a client admitted with hypertensive emergency. The nurse is aware the treatment goals for the patient include which of the following?
Correct Answer: A
Rationale: Gradual blood pressure reduction over 24-48 hours prevents organ damage while avoiding ischemia from rapid drops.