ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is ordered Potassium 40 mEq IV. On hand is Potassium Chloride 20 mEq/mL. What is the nurse's next action?
Correct Answer: B
Rationale: IV potassium must be diluted and not given undiluted or as IV push to avoid fatal arrhythmias.
Question 2 of 5
A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that their blood pressure readings of 124/84 mm Hg and 128/88 mm Hg place them in which of the following categories?
Correct Answer: A
Rationale: Diastolic readings of 84-88 mm Hg fall into Stage 1 hypertension (systolic 130-139 or diastolic 80-89).
Question 3 of 5
A nurse is caring for a client with right-sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D,E,F
Rationale: Distended neck veins, edema, fatigue, orthopnea, and rapid weight gain indicate worsening right-sided heart failure.
Question 4 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 5 of 5
A nurse is caring for a heart failure client with a history of dietary noncompliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY)
Correct Answer: A,D,E
Rationale: Increased blood pressure, heart rate, and respiratory rate indicate fluid overload; hematocrit decreases due to hemodilution.