ATI RN
ATI RN Custom Cardiovascular Med Surg Questions
Extract:
Question 1 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 2 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 3 of 5
A patient who has just been admitted with pulmonary edema is scheduled to receive the following medications. Which medication would the nurse question before giving?
Correct Answer: Digoxin is used to treat heart failure and atrial fibrillation, but it doesn't directly address the fluid accumulation in the lungs caused by pulmonary edema. Captopril, furosemide, and carvedilol are more directly beneficial for managing pulmonary edema.
Rationale:
Question 4 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:
Question 5 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: