ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the lab results and electrocardiogram (ECG) of a patient with End Stage Renal Disease (ESRD). The nurse correlates which ECG finding to a potassium level of 6.8?
Correct Answer: C
Rationale: Peaked T waves are a hallmark of hyperkalemia due to increased repolarization speed.
Question 2 of 5
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: A 2 lb gain in 24 hours indicates fluid retention, requiring immediate provider notification.
Question 3 of 5
A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics?
Correct Answer: D
Rationale: Thiazide diuretics promote potassium loss, increasing the risk of hypokalemia, which can lead to cardiac dysrhythmias, palpitations, and weakness.
Question 4 of 5
A nurse is caring for a client post-transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, 'I do not need to be here. I am feeling so much better, I can do this at home.' Which of the following is the appropriate nursing response?
Correct Answer: B
Rationale: Cardiac rehab ensures safe recovery and monitors progress for an active lifestyle.
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.