ATI RN
ATI RN Custom Cardiovascular Med Surg Questions
Extract:
Nurses' Notes.
Day 1: Vital Signs.
Bilateral breath sounds clear and present throughout.
Weight 80 kg (176 lb). Urine output 480 mL/8 hr. Day 4: Breath sounds scattered, crackles heard bilaterally.
Apical heart rate rapid and irregular.
Audible S3 gallop.
Weight 82.1 kg (181 lb). Urine output 320 mL/8 hr. Vital Signs.
Day 1: Temperature 37.6° C (99.7° F). Blood pressure 108/50 mm Hg. Pulse 98/min.
Respiratory rate 20/min.
Pulse oximetry 95% on room air.
Day 4: Temperature 36.8° C (98.2° F). Blood pressure 138/80 mm Hg. Pulse 112/min.
Respiratory rate 28/min.
Pulse oximetry 88% on room air.
Question 1 of 5
A nurse is reviewing the assessment findings for the client on day 4. Which of the following findings requires further action?
Correct Answer: Decreased oxygen saturation, increased blood pressure, weight gain, and bilateral crackles indicate worsening heart failure requiring further action. Temperature is normal, and urine output is adequate.
Rationale:
Extract:
Question 2 of 5
Which statement by a patient with restrictive cardiomyopathy indicates that the nurse's discharge teaching about self-management has been effective?
Correct Answer: Limiting salt and fluid intake is crucial for patients with restrictive cardiomyopathy to manage their condition. Avoiding aspirin, taking antibiotics, and restarting exercise are not specific to this condition's self-management.
Rationale:
Question 3 of 5
The nurse is providing teaching about the patient's laboratory values that increase the risk for coronary artery disease (CAD). Which of the following values should the nurse prioritize?
Correct Answer: A fasting triglyceride level of 167 mg/dL is above the desirable level of less than 150 mg/dL, indicating a higher risk for CAD. HDL is protective, LDL is near optimal, and total cholesterol is within normal range.
Rationale:
Extract:
Nurses' Notes.
Day 1: Vital Signs.
Bilateral breath sounds clear and present throughout.
Weight 80 kg (176 lb). Urine output 480 mL/8 hr. Day 4: Breath sounds scattered, crackles heard bilaterally.
Apical heart rate rapid and irregular.
Audible S3 gallop.
Weight 82.1 kg (181 lb). Urine output 320 mL/8 hr. Vital Signs.
Day 1: Temperature 37.6° C (99.7° F). Blood pressure 108/50 mm Hg. Pulse 98/min.
Respiratory rate 20/min.
Pulse oximetry 95% on room air.
Day 4: Temperature 36.8° C (98.2° F). Blood pressure 138/80 mm Hg. Pulse 112/min.
Respiratory rate 28/min.
Pulse oximetry 88% on room air.
Question 4 of 5
A nurse is reviewing the assessment findings for the client on day 4. Which of the following findings requires further action?
Correct Answer: Decreased oxygen saturation, increased blood pressure, weight gain, and bilateral crackles indicate worsening heart failure requiring further action. Temperature is normal, and urine output is adequate.
Rationale:
Extract:
Question 5 of 5
Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?
Correct Answer: Jugular venous distention (JVD) is a common sign of chronic constrictive pericarditis. If JVD is not present, it may indicate that the therapies are effective. ST segment changes, sedimentation rate, and paradoxical pulse are not specific to this condition.
Rationale: