ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?
Correct Answer: C
Rationale: Metformin increases the risk of lactic acidosis with contrast dye, requiring it to be withheld.
Extract:
Nurses' notes
A&O x 3. Skin cool, clammy, pale. Respirations labored at 30/min, shallow. Coarse crackles throughout bilateral lung fields. O2 saturation 88% on room air. Jugular vein distention (JVD) present bilaterally. Heart sounds moderate and regular, rate 98/min. BP 114/78 mm Hg. Temperature 87.8° C (99.9° F). Denies pain
Question 3 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Actions to take A. Recommend smoking cessation program B. Apply O2 at 6L/min C. Apply O2 at 2L/min D. Monitor respiratory rate |
| Potential conditions A. Spontaneous pneumothorax B. Exacerbation of copd C. Pneumonia D. Worsening of congestive heart failure |
| Parameters to monitor A. Respiratory rate B. Oxygen saturation C. WBC Count D. Temperature |
Correct Answer: D,E,G
Rationale: Worsening congestive heart failure is indicated by crackles, JVD, and low O2 saturation; oxygen and monitoring respiratory rate and O2 saturation are critical.
Extract:
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 giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D
Rationale: Bedrest, post-operative status, and oral contraceptives increase DVT risk due to venous stasis, surgical trauma, and hypercoagulability.