ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is providing discharge teaching to a client diagnosed with infective endocarditis with vegetation on the tricuspid valve. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Prophylactic antibiotics before dental procedures prevent bacterial endocarditis recurrence by reducing the risk of bloodstream infections.
Question 3 of 5
A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics?
Correct Answer: D
Rationale: Thiazide diuretics promote potassium loss, increasing the risk of hypokalemia, which can lead to cardiac dysrhythmias, palpitations, and weakness.
Extract:
Nurses notes
Client admitted with report of chest pain radiating to the left arm, sweating, shortness of breath, and epigastric discomfort. Client awake, alert, and oriented x3. Lung sounds clear bilaterally, 5152 heart sounds noted. All pulses palpable. Skin cool and diaphoretic to touch. Rates pain as 6 on a 0 to 10 pain scale. Pain described as sharp in the chest area with feelings of tightness and indigestion. Bowel sounds active in all 4 quadrants.
Question 4 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.
| Chronic stable angina |
| Myocardial infarction |
| Ischemic stroke |
| Cardiogenic shock |
| Administer oxygen |
| Request for a prescription of aspirin 325 mg |
| Vital signs |
Correct Answer: B,E,F,G
Rationale: Myocardial infarction is suggested by radiating chest pain and diaphoresis; oxygen, aspirin, vital signs, and ECG monitoring are essential.
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.