ATI LPN
ATI LPN Med Surg Cardiac Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Nausea can indicate digoxin toxicity, which affects heart function, so checking vital signs, particularly heart rate, is the priority to assess for toxicity.
Question 3 of 5
A nurse is collecting data for a client who experienced a myocardial infarction prior to a cardiac arrest. Which of the following laboratory tests will identify early injury to the cardiac muscle?
Correct Answer: B
Rationale: Troponin T is highly specific and sensitive for myocardial injury, rising within hours of cardiac muscle damage, making it the gold standard for early diagnosis of myocardial infarction.
Question 4 of 5
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
Correct Answer: A
Rationale: Slipper socks provide warmth without risking burns or further vascular compromise, which could occur with heating pads or rubbing in a client with vascular occlusion.
Question 5 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stockings with tight elastic tops can restrict blood flow, worsening symptoms in PVD. The client's statement indicates a misunderstanding, as these should be avoided.