ATI RN
ATI RN Custom Cardiovascular Med Surg Questions
Extract:
Question 1 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 2 of 5
Which patient statement indicates that the nurse's teaching about sublingual nitroglycerin (Nitrostat) has been effective?
Correct Answer: If chest pain is not relieved 5 minutes after taking nitroglycerin, it is recommended to call an ambulance. Nausea is not a common side effect, nitroglycerin should be stored in a dark place, and it can also be taken prophylactically.
Rationale:
Question 3 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 4 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:
Extract:
Nurses' Notes
0700:
Adolescent alert and oriented, resting in bed in supine position with their legs straight.
Pressure dressing to right femoral area dry and intact.
Bilateral lower extremities warm to touch with equal posterior tibial and dorsalis pedis pulses palpated.
Reports pain as 0 on a scale of 0 to 10. 0730: Adolescent awake, resting in supine position with their legs straight.
Dressing to right femoral area saturated with bloody drainage.
Posterior tibial and dorsalis pedis pulses of right extremity 2+. Right lower extremity cool and pale in color.
Reports pain as 2 on a scale of 0 to 10.
Vital Signs
0700:
• Blood pressure 120/76 mm Hg. Apical pulse rate 90/min.
• Respiratory rate 16/min.
• Temperature 36.6° C (97.9° F). 0730: Blood pressure 100/52 mm Hg. Apical pulse rate 112/min.
• Respiratory rate 18/min.
• Temperature 36.7° C (98.1° F).
Medical History
• Adolescent has no significant past medical history.
• Adolescent was playing basketball last night when they suddenly "passed out" on the court.
• No significant maternal or paternal medical history.
Question 5 of 5
A nurse is caring for an adolescent following a cardiac catheterization. Which of the following assessment findings should the nurse report to the provider?
Correct Answer: Decreased pulses, saturated dressing, significant drop in blood pressure, and cool/pale extremity indicate potential bleeding or vascular complications post-catheterization, requiring immediate reporting. Pulse, position, pain, and respiratory rate changes are less critical.
Rationale: