ATI RN
ATI RN Custom Cardiovascular Med Surg Questions
Extract:
Question 1 of 5
A patient is admitted to the emergency department and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI). Which question would the nurse ask to determine whether the patient is a candidate for thrombolytic therapy?
Correct Answer: The time of pain onset is crucial in determining eligibility for thrombolytic therapy. Thrombolytic therapy is most effective when given within a certain time frame from the onset of symptoms. Aspirin use, allergies, and pain severity are less relevant for eligibility.
Rationale:
Question 2 of 5
In preparation for discharge, the nurse teaches a patient with chronic stable angina how to use the prescribed short-acting and long-acting nitrates. Which patient statement indicates that the teaching has been effective?
Correct Answer: Sitting down before taking nitroglycerin can prevent dizziness and fainting, which are potential side effects of nitroglycerin. Checking pulse rate is not necessary, removing the patch is not required, and the patch is not used for acute chest pain.
Rationale:
Question 3 of 5
The nurse is admitting a patient who has chest pain. Which assessment data suggest that the pain may be from an acute myocardial infarction?
Correct Answer: Chest pain that lasts for 20 minutes or more is characteristic of an acute myocardial infarction (AMI). Pain with deep breathing, relief with nitroglycerin, or reproducibility with arm movement suggests other causes.
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
A patient who has heart failure recently started taking digoxin in addition to furosemide and captopril. Which finding by the home health nurse is a priority to communicate to the health care provider?
Correct Answer: A serum potassium level of 3.0 mEq/L is below the normal range (3.5-5.0 mEq/L), indicating hypokalemia, which can cause serious complications, especially with digoxin. Weight increase, liver palpation, and edema are concerning but less urgent.
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