ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Nurses notes
Client admitted with report of chest pain radiating to the left arm, sweating, shortness of breath, and epigastric discomfort. Client awake, alert, and oriented x3. Lung sounds clear bilaterally, 5152 heart sounds noted. All pulses palpable. Skin cool and diaphoretic to touch. Rates pain as 6 on a 0 to 10 pain scale. Pain described as sharp in the chest area with feelings of tightness and indigestion. Bowel sounds active in all 4 quadrants.
Question 1 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Chronic stable angina |
| Myocardial infarction |
| Ischemic stroke |
| Cardiogenic shock |
| Administer oxygen |
| Request for a prescription of aspirin 325 mg |
| Vital signs |
Correct Answer: B,E,F,G
Rationale: Myocardial infarction is suggested by radiating chest pain and diaphoresis; oxygen, aspirin, vital signs, and ECG monitoring are essential.
Extract:
Question 2 of 5
Identify the following Cardiac Rhythm:
Correct Answer: A
Rationale: Atrial fibrillation is identified by an irregularly irregular rhythm with no distinct P waves.
Question 3 of 5
Identify the following Cardiac Rhythm:
Correct Answer: D
Rationale: Ventricular tachycardia is characterized by rapid, wide QRS complexes and no P waves.
Question 4 of 5
A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?
Correct Answer: D
Rationale: STEMI is indicated by ST-segment elevation, signaling complete coronary artery occlusion.
Question 5 of 5
A nurse is providing care and education to a client after an acute myocardial infarction. Which of the following statements should the nurse make regarding cardiac enzyme studies?
Correct Answer: C
Rationale: Cardiac enzymes like troponins indicate the extent of myocardial damage in an AMI.