ATI RN
ATI RN Custom Cardiovascular Med Surg Questions
Extract:
Question 1 of 5
The nurse is administering a thrombolytic agent to a patient having an acute myocardial infarction. Which patient data indicates that the nurse should stop the drug infusion?
Correct Answer: Bleeding from the gums can be a sign of excessive bleeding, which is a major risk of thrombolytic therapy. This would be a reason to stop the drug infusion. Ventricular tachycardia, decreased consciousness, and increased blood pressure are not specific indicators to stop the infusion.
Rationale:
Question 2 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.
Rationale:
Question 3 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 4 of 5
Which patient statement would help the nurse confirm the previous diagnosis of chronic stable angina?
Correct Answer: Chronic stable angina is characterized by chest pain that is relieved by rest or nitroglycerin. Therefore, if the patient's pain goes away with a nitroglycerin tablet, it would help confirm a diagnosis of chronic stable angina. Pain level, worsening pain, or nighttime pain are less specific.
Rationale:
Question 5 of 5
A patient who has recently had an acute myocardial infarction (AMI) ambulates in the hospital hallway. Which data would indicate to the nurse that the patient should stop and rest?
Correct Answer: An increase in heart rate from 66 to 98 beats/min indicates that the heart is working harder, which could be a sign of stress or exertion. This is a significant increase and could indicate that the patient needs to rest. O2 saturation, respiratory rate, and BP changes are within normal ranges.
Rationale: