ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a diagnosis of left-sided heart failure. The nurse expects what assessment findings associated with left-sided heart failure? (Select All that Apply.)
Correct Answer: C,D,E
Rationale: Crackles in the lungs (
C), confusion (
D), and exertional dyspnea (E) are expected. Left-sided heart failure causes pulmonary congestion (crackles, dyspnea) and reduced cerebral perfusion (confusion). Ascites and leg edema are associated with right-sided heart failure.
Question 2 of 5
A nurse in a provider's clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client reports getting a headache each time he takes the medication. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Try taking a mild analgesic to relieve the headache.' is correct. Nitroglycerin-induced headaches are a common side effect due to vasodilation. Mild analgesics such as acetaminophen can help alleviate the discomfort. Taking only one dose to reduce the risk of a headache is inappropriate. The client should follow the prescribed dosing regimen to manage angina effectively. Skipping doses may increase the risk of angina attacks. Requesting a different medication is not necessary. Nitroglycerin is an effective treatment for stable angina, and headaches typically diminish over time as the body adjusts to the medication. Stating that nothing can be done to relieve the headaches is incorrect. Headaches from nitroglycerin can be managed with mild analgesics or by adjusting the timing of medication administration.
Question 3 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: C
Rationale: Exercising at least three times per week is correct. Regular physical activity improves cardiovascular function within safe limits. Notifying for a 1-lb weight gain weekly is too sensitive, naproxen can worsen heart failure, and diuretics before bedtime cause nocturia.
Question 4 of 5
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?
Correct Answer: C
Rationale: Administering oxygen therapy is correct. A pulmonary embolism impairs oxygenation, and immediate oxygen administration improves delivery to vital organs. Morphine, cardiac monitoring, and IV fluids are secondary priorities.
Question 5 of 5
The nurse is providing care to a client with a suspected pulmonary embolism. Which of the following is not a manifestation of a pulmonary embolism?
Correct Answer: D
Rationale: Facial weakness is not a typical sign of pulmonary embolism. Hemoptysis, tachycardia, and even petechiae (in rare cases like fat embolism) can be associated, but facial weakness is more indicative of stroke or Bell's palsy.