ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A nurse is providing discharge instructions for a client diagnosed with congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?
Correct Answer: B
Rationale: Daily weight tracking detects fluid retention, a key indicator of worsening heart failure.
Question 2 of 5
A nurse is assessing a client two months after mitral valve replacement. The client complains of malaise, anorexia, weight loss, chills, and fever. The nurse suspects the client may have endocarditis. What other assessment sign is associated with infectious endocarditis?
Correct Answer: D
Rationale: Splinter hemorrhages are a classic sign of endocarditis due to small emboli from infected valves.
Question 3 of 5
A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?
Correct Answer: D
Rationale: Obstructive sleep apnea contributes to hypertension through intermittent hypoxia and increased sympathetic activity, elevating blood pressure.
Question 4 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 5 of 5
A nurse is caring for a client with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?
Correct Answer: A
Rationale: Digoxin, a positive inotrope, increases cardiac contractility, improving output in heart failure.