ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is reviewing cardiac rhythms and heart blocks for a critical care course. The nurse is aware that which of the following describes first-degree heart block?
Correct Answer: C
Rationale: First-degree heart block is characterized by a prolonged PR interval (>0.20 seconds) with regular rhythm.
Question 4 of 5
Identify the following Cardiac Rhythm:
Correct Answer: A
Rationale: Atrial fibrillation is identified by an irregularly irregular rhythm with no distinct P waves.
Question 5 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.