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ATI Med Surg Cardiac Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client with right-sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)

Correct Answer: B,C,D,E,F

Rationale: Distended neck veins, edema, fatigue, orthopnea, and rapid weight gain indicate worsening right-sided heart failure.

Question 2 of 5

A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain? (SELECT ALL THAT APPLY)

Correct Answer: A,B,C,E,F

Rationale: Location, distribution, intensity, onset, and radiation are critical for assessing cardiac pain in MI.

Question 3 of 5

A nurse is caring for a client who is complaining of dyspnea, dizziness, palpitations, and rapid heart rate. ECG shows a narrow complex tachy-dysrhythmia with a rate of 188, Supraventricular Tachycardia (SVT). The nurse is aware that this rapid arrhythmia is best treated with which of the following medications?

Correct Answer: B

Rationale: Adenosine is the first-line treatment for stable SVT, blocking AV node conduction to reset the rhythm.

Question 4 of 5

A nurse is assessing a patient with known mitral valve regurgitation. The nurse should expect to hear which of the following heart sounds?

Correct Answer: A

Rationale: Mitral regurgitation causes a holosystolic murmur due to backflow into the left atrium.

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.

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