ATI RN
ATI RN Custom Cardiovascular Med Surg Questions
Extract:
Question 1 of 5
After receiving a change-of-shift report about the following four patients on the cardiac care unit, which patient would the nurse assess first?
Correct Answer: A patient with unstable angina who has just returned after a percutaneous coronary intervention (PCI) is at risk for hemorrhage from the arterial access site. Immediate assessment of blood pressure, pulses, and the access site is required. Anxiety, scheduled medication, and chest pain are less urgent.
Rationale:
Question 2 of 5
A patient has pain due to acute pericarditis. Which action would the nurse take?
Correct Answer: Placing the patient in Fowler's position, leaning forward on the table, can help relieve the pain associated with acute pericarditis. Deep breaths, forced fluids, and ice bags are not effective for this purpose.
Rationale:
Question 3 of 5
While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?
Correct Answer: Furosemide is a diuretic that can cause the body to lose potassium, so it's important to consume potassium-rich foods. The other statements are correct regarding blood pooling, medication adherence, and orthostatic hypotension.
Rationale:
Question 4 of 5
After reviewing a patient's history, vital signs, physical assessment, and laboratory data, which information is most important for the nurse to communicate to the health care provider?
Correct Answer: Elevated troponin is a sign of heart damage, which could be caused by a heart attack or other stresses on the heart. This is a critical finding that needs immediate attention. Q waves may indicate a past event, crackles suggest fluid overload, and hyperglycemia is less urgent.
Rationale:
Question 5 of 5
A patient with a history of hypertension arrives in the emergency department with a blood pressure (BP) reading of 213/126 mm Hg. The patient has a history of drug abuse. Which of the following initial questions posed by the nurse is MOST appropriate?
Correct Answer: Cocaine or crack use can cause a significant and dangerous increase in blood pressure. Given the patient's history of drug abuse and the current high blood pressure reading, this is a critical question to ask. Tylenol, stress, and salty foods are less likely to cause such an acute spike.
Rationale: