ATI RN
ATI RN Custom Cardiovascular Med Surg Questions
Extract:
Question 1 of 5
The nurse is admitting a patient who has chest pain. Which assessment data suggest that the pain may be from an acute myocardial infarction?
Correct Answer: Chest pain that lasts for 20 minutes or more is characteristic of an acute myocardial infarction (AMI). Pain with deep breathing, relief with nitroglycerin, or reproducibility with arm movement suggests other causes.
Rationale:
Question 2 of 5
Which data indicates to the nurse that the patient with stable angina is experiencing a side effect of metoprolol?
Correct Answer: Metoprolol is a beta-blocker that can lower blood pressure, so a blood pressure of 90/54 mm Hg could indicate a side effect of this medication. Feeling anxious, normal sinus rhythm, and restlessness/agitation are not typical side effects of metoprolol.
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
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:
A nurse is caring for an adolescent in an emergency department.
Vital Signs.
2300: Medical History.
Blood pressure 120/78 mm Hg. Apical pulse rate 100/min.
Respiratory rate 20/min.
2400: Temperature 37.9° C (100.2° F). Oxygen saturation 98% on room air.
Nurses' Notes.
Blood pressure 112/64 mm Hg. Apical pulse rate 108/min.
Respiratory rate 28/min.
Temperature 38.9° C (102° F). Oxygen saturation 95% on room air.
Medical History.
History of rheumatic fever with resulting cardiac valve damage.
Nurses' Notes.
2300: Adolescent brought to emergency department by their parent.
Adolescent reports intermittent low-grade fever and anorexia.
Manifestations presented a few days after having dental work performed.
Now they are worse.
Adolescent noticed shortness of breath with exertion today.
Adolescent in semi-reclining position.
Respirations easy and unlabored while at rest.
Mild dyspnea observed when adolescent ambulated to the room.
Lung sounds clear bilaterally.
Oral mucous membranes pink with petechiae noted.
Adolescent reports diffuse joint pain as 2 on a scale of 0 to 10. 2400: Adolescent restless and sweating, sitting in high-Fowler's position.
Dyspnea noted at rest.
Adolescent reports pain in mid-chest as dull, aching, and as 2 on a scale of 0 to 10. Few coarse rales auscultated bilaterally
Question 5 of 5
A nurse is caring for an adolescent in an emergency department. Which of the following should the nurse anticipate the provider will prescribe?
Correct Answer: Obtaining blood cultures, administering antibiotics, and obtaining an echocardiogram are anticipated due to suspected endocarditis from recent dental work and symptoms like fever and dyspnea. Restricting dental hygiene and strenuous exercise are contraindicated as they could worsen the condition or are unnecessary.
Rationale: