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
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 3 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 4 of 5
A nurse is collecting data from a client who has left-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Left-sided heart failure causes fluid to back up into the lungs, leading to orthopnea, or shortness of breath when lying down, due to pulmonary congestion.
Question 5 of 5
A nurse is reinforcing teaching to a client who has cardiomyopathy about side effects of beta blockers. Which of the following client statements should indicate to the nurse that the client understands the teaching?(Select All that Apply.)
Correct Answer: A,C,E
Rationale: Beta blockers can cause mood swings, dizziness (affecting driving), and decreased libido, indicating the client understands these potential side effects.