ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?
Correct Answer: A
Rationale: Digoxin, a positive inotrope, increases cardiac contractility, improving output in heart failure.
Question 2 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.
Question 3 of 5
A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?
Correct Answer: C
Rationale: Metformin increases the risk of lactic acidosis with contrast dye, requiring it to be withheld.
Question 4 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 5 of 5
A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?
Correct Answer: D
Rationale: STEMI is indicated by ST-segment elevation, signaling complete coronary artery occlusion.