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ATI Med Surg Cardiac Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client post-cardiac catheterization with a right femoral artery puncture site. The nurse is aware that which of the following findings needs to be reported to the interventional cardiologist as soon as it is identified?

Correct Answer: B

Rationale: Swelling and a cool extremity suggest arterial occlusion or hematoma, requiring immediate intervention.

Question 2 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 3 of 5

A nurse is teaching a newly licensed nurse about evaluating cardiac rhythms. Which of the following best explains calculation of the heart rate?

Correct Answer: A

Rationale: Counting QRS complexes in a 6-second strip and multiplying by 10 estimates heart rate.

Question 4 of 5

A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?

Correct Answer: C

Rationale: Atrial fibrillation is characterized by an irregular rhythm, absence of P waves, and a pulse deficit due to ineffective atrial contractions.

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.

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