ATI RN
ATI RN Custom 2023 Med-Surg Cardiovascular Questions
Extract:
Question 1 of 5
A nurse is teaching a client with a new atrial fibrillation diagnosis on worsening signs and symptoms. The nurse should instruct the client to monitor for which of the following complications?
Correct Answer: B
Rationale: Slurred speech could indicate a stroke, a potential complication of atrial fibrillation due to thromboembolism from atrial stasis.
Question 2 of 5
A nurse is teaching a client with angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?
Correct Answer: A
Rationale: Nitroglycerin is administered sublingually for rapid absorption to relieve chest pain. The standard instruction is to take one tablet every 5 minutes up to 3 doses if chest pain persists, then seek medical help if unrelieved.
Question 3 of 5
A client comes to the emergency department with reports of three days of watery stools and emesis × 6 in the past hour. Upon assessment, the nurse notes vital signs are B/P 130/92 mmHg, heart rate 130 bpm, respiratory rate 18 bpm, and oxygen saturation of 98% in room air. The nurse puts the client on the cardiac monitor. What does the nurse anticipate will be the prescription by the medical provider?
Correct Answer: B
Rationale: The client shows signs of dehydration (tachycardia, vomiting, diarrhea), so an IV sodium chloride bolus is anticipated to restore fluid volume.
Question 4 of 5
Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?
Correct Answer: B
Rationale: Jugular venous distention is a key sign of constrictive pericarditis due to impaired diastolic filling; its reduction indicates effective therapy.
Question 5 of 5
As the registered nurse, which tasks below should you NOT delegate to the LPN?
Correct Answer: D
Rationale: Starting a blood transfusion involves initial assessment and monitoring for reactions, which cannot be delegated to an LPN; RNs must perform this task.