ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Calling 911 if pain persists after taking 3 nitroglycerin tablets 5 minutes apart is correct. Persistent pain suggests a possible myocardial infarction, requiring immediate medical intervention. The other options deviate from the standard protocol for nitroglycerin use.
Question 2 of 5
A client with a diagnosis of heart failure is admitted to the cardiac unit. Which intervention should the nurse complete first?
Correct Answer: C
Rationale: Auscultating the lung and heart sounds is correct. In heart failure, pulmonary congestion and fluid overload can lead to respiratory distress. Immediate assessment for crackles, wheezing, or abnormal heart sounds evaluates for acute decompensation. Drawing a BMP, obtaining a health history, and assessing pulse and temperature are important but secondary to assessing for immediate respiratory or cardiac compromise.
Question 3 of 5
The nurse is providing care to a client with a suspected pulmonary embolism. Which of the following is not a manifestation of a pulmonary embolism?
Correct Answer: D
Rationale: Facial weakness is not a typical sign of pulmonary embolism. Hemoptysis, tachycardia, and even petechiae (in rare cases like fat embolism) can be associated, but facial weakness is more indicative of stroke or Bell's palsy.
Question 4 of 5
The nurse is educating a client about the treatment options for a pulmonary embolism. Which of the following statements would require further teaching?
Correct Answer: C
Rationale: The purpose of the Inferior Vena Cava (IV
C) filter is to trap emboli from deep vein thrombosis (DVT) before they reach the lungs, not to prevent DVT formation. This statement is incorrect and requires further teaching. The other statements about Warfarin, Heparin, and embolectomy are accurate.
Question 5 of 5
Which of the following is considered a risk factor for COPD?
Correct Answer: C
Rationale: Alpha-1 Antitrypsin (AAT) deficiency is correct. It is a genetic disorder that leads to early-onset emphysema, impairing the lungs' ability to protect against enzymatic damage. Hypertension, male gender, and history of pulmonary embolism are not primary risk factors for COPD.