ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports shortness of breath and heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse palpates a rapid carotid pulse with a blood pressure of 70/30, and the client reports feeling dizzy. The nurse should anticipate the need for which priority action?
Correct Answer: D
Rationale: Synchronized cardioversion is used for unstable VT with a pulse to prevent inducing ventricular fibrillation.
Question 2 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 3 of 5
A nurse is preparing to start a heparin drip on a client with acute coronary syndrome. Ordered: Give Heparin 1000 units per hour, standard dilution of 25,000 units in 250 mL of normal saline. What is the correct drip setting for the pump in mL/hr?
Correct Answer: A
Rationale: Heparin concentration is 100 units/mL; 1000 units/hour requires 10 mL/hour (1000/100=10).
Question 4 of 5
A nurse is caring for a client with an acute myocardial infarction (AMI). The nurse is preparing medications for the client and recognizes that which medication will dilate the client's coronary blood vessels?
Correct Answer: A
Rationale: Nitroglycerine is a vasodilator, improving coronary blood flow and reducing myocardial oxygen demand.
Question 5 of 5
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: A 2 lb gain in 24 hours indicates fluid retention, requiring immediate provider notification.