ATI LPN
ATI LPN Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has left-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Left-sided heart failure causes fluid to back up into the lungs, leading to orthopnea, or shortness of breath when lying down, due to pulmonary congestion.
Question 2 of 5
A nurse is reviewing laboratory data from a client who has pulmonary embolism and is receiving IV heparin. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A low platelet count (74,000/mm³) may indicate heparin-induced thrombocytopenia, a serious complication of heparin therapy that requires immediate reporting.
Question 3 of 5
A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the client's pulse, which of the following terms should the nurse use?
Correct Answer: B
Rationale: Atrial fibrillation causes an irregular pulse due to uncoordinated atrial contractions, making 'irregular' the appropriate term to describe the pulse quality.
Question 4 of 5
A nurse is reinforcing teaching with an older adult client who has had a newly inserted permanent pacemaker. Which of the following manifestations should the nurse include in the teaching as a pacemaker malfunction that the client should report to the provider?
Correct Answer: B
Rationale: A rapid pulse may indicate a pacemaker malfunction, such as pacing too quickly, and should be reported to the provider.
Question 5 of 5
A nurse is collecting data from a client who is receiving continuous cardiac monitoring that is indicating premature ventricular contractions (PVCs). Which of the following findings should the nurse expect when assessing the client?
Correct Answer: C
Rationale: PVCs disrupt the heart's normal rhythm, leading to irregular pulsations detectable on palpation.