ATI LPN
ATI LPN Med Surg Cardiac Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is collecting data from a client who has hypertension and a prescription for propranolol. A history of which of the following conditions should be reported to the provider?
Correct Answer: D
Rationale: Propranolol can worsen heart failure by reducing myocardial contractility, making it a critical condition to report for clients prescribed this medication.
Question 3 of 5
A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?
Correct Answer: A
Rationale: Aspirin's antiplatelet effect reduces blood clot formation, helping prevent further cardiac events in clients with coronary artery disease.
Question 4 of 5
A nurse is reviewing the laboratory values for a client who has heart failure and is taking bumetanide. For which of the following results should the nurse notify the provider?
Correct Answer: C
Rationale: A potassium level of 2.3 mEq/L is critically low, and bumetanide, a loop diuretic, can cause hypokalemia, which may lead to dangerous cardiac dysrhythmias, necessitating immediate notification.
Question 5 of 5
A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Initiating oxygen therapy is the priority to address hypoxia, indicated by cyanosis and dyspnea, to prevent further ischemic damage to the heart.