Questions 50

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ATI Med Surg Cardiac Exam Questions

Extract:


Question 1 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 2 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.

Question 3 of 5

A client has undergone diagnostic testing and received a diagnosis of sinus bradycardia. Which interventions are most appropriate and should be included in the client's plan of care? (SELECT ALL THAT APPLY)

Correct Answer: C,D,E

Rationale: Prevention of falls is essential due to the risk of dizziness and syncope. Monitoring heart rate and rhythm ensures detection of worsening bradycardia or arrhythmias. Assessing for neurologic changes is critical as reduced cerebral perfusion can cause confusion or syncope.

Extract:

A nurse is assessing a postpartum client.
36-year-old postpartum client who delivered twins via cesarean birth 3 weeks ago.
Reports throbbing pain as 7 on a scale of 0 to 10, swelling, discoloration, and warmth in left calf for two days. Also reports shortness of breath for the last 8 hours,


Question 4 of 5

To confirm a diagnosis of DVT, the nurse anticipates provider orders for ___ and ___

Correct Answer: B,D

Rationale: D-dimer detects clot formation, and venous duplex ultrasound confirms DVT.

Extract:


Question 5 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.

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