ATI RN
ATI Med Surg exam 2 III Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?
Correct Answer: A
Rationale: Frothy sputum indicates pulmonary edema, a common complication of left-sided heart failure, resulting from fluid accumulation in the lungs due to poor ventricular function.
Question 2 of 5
A nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm. Which of the following options should the nurse identify as the P wave in the ECG complex?
Correct Answer: A
Rationale: The first upward deflection in an ECG represents the P wave, indicating atrial depolarization. It precedes the QRS complex and corresponds to the electrical activity associated with atrial contraction, initiating the cardiac cycle.
Question 3 of 5
A nurse is performing an ECG on a client who is experiencing chest pain. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Electrodes applied to the chest and extremities detect the electrical activity of the heart, necessary for accurate ECG readings and diagnosing potential cardiac issues.
Question 4 of 5
A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzyme studies?
Correct Answer: C
Rationale: Elevated cardiac enzyme levels, particularly troponins, indicate myocardial cell injury and help determine the severity of heart tissue damage.
Question 5 of 5
A nurse is evaluating a client who had a left-sided cardiac catheterization with an upper extremity insertion site. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Assessing pulses in the affected arm ensures proper blood flow and identifies potential complications like arterial occlusion following cardiac catheterization.