ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to start a heparin drip on a client with acute coronary syndrome. Ordered: Give Heparin 1000 units per hour, standard dilution of 25,000 units in 250 mL of normal saline. What is the correct drip setting for the pump in mL/hr?
Correct Answer: A
Rationale: Heparin concentration is 100 units/mL; 1000 units/hour requires 10 mL/hour (1000/100=10).
Extract:
Nurses notes
Client admitted with report of chest pain radiating to the left arm, sweating, shortness of breath, and epigastric discomfort. Client awake, alert, and oriented x3. Lung sounds clear bilaterally, 5152 heart sounds noted. All pulses palpable. Skin cool and diaphoretic to touch. Rates pain as 6 on a 0 to 10 pain scale. Pain described as sharp in the chest area with feelings of tightness and indigestion. Bowel sounds active in all 4 quadrants.
Question 2 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Chronic stable angina |
| Myocardial infarction |
| Ischemic stroke |
| Cardiogenic shock |
| Administer oxygen |
| Request for a prescription of aspirin 325 mg |
| Vital signs |
Correct Answer: B,E,F,G
Rationale: Myocardial infarction is suggested by radiating chest pain and diaphoresis; oxygen, aspirin, vital signs, and ECG monitoring are essential.
Extract:
Nurses' notes
A&O x 3. Skin cool, clammy, pale. Respirations labored at 30/min, shallow. Coarse crackles throughout bilateral lung fields. O2 saturation 88% on room air. Jugular vein distention (JVD) present bilaterally. Heart sounds moderate and regular, rate 98/min. BP 114/78 mm Hg. Temperature 87.8° C (99.9° F). Denies pain
Question 3 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Actions to take A. Recommend smoking cessation program B. Apply O2 at 6L/min C. Apply O2 at 2L/min D. Monitor respiratory rate |
| Potential conditions A. Spontaneous pneumothorax B. Exacerbation of copd C. Pneumonia D. Worsening of congestive heart failure |
| Parameters to monitor A. Respiratory rate B. Oxygen saturation C. WBC Count D. Temperature |
Correct Answer: D,E,G
Rationale: Worsening congestive heart failure is indicated by crackles, JVD, and low O2 saturation; oxygen and monitoring respiratory rate and O2 saturation are critical.
Extract:
Question 4 of 5
A nurse is caring for a client who is in pulseless ventricular tachycardia (V-Tach). The nurse recognizes the need for which priority intervention?
Correct Answer: A
Rationale: Defibrillation is the priority for pulseless V-Tach to restore a normal rhythm.
Question 5 of 5
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: A 2 lb gain in 24 hours indicates fluid retention, requiring immediate provider notification.