ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client with heart failure who takes furosemide (Lasix) 20 mg daily at home and is receiving 40 mg of furosemide (Lasix) IV daily in the hospital. The nurse is aware that this patient is at risk for which electrolyte imbalance?
Correct Answer: C
Rationale: Furosemide, a loop diuretic, increases potassium excretion, leading to a risk of hypokalemia, which can cause muscle weakness and arrhythmias.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse is caring for a client who is in pulseless ventricular tachycardia (V-Tach). The nurse recognizes the need for which priority intervention?
Correct Answer: A
Rationale: Defibrillation is the priority for pulseless V-Tach to restore a normal rhythm.