ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
The nurse is providing care for a client admitted to rule out a myocardial infarction who is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?
Correct Answer: B
Rationale: Having the client sit down immediately is correct. Stopping activity reduces cardiac workload and oxygen demand, preventing further ischemia. Obtaining an ECG, assessing vital signs, and administering nitroglycerin are subsequent actions.
Question 2 of 5
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?
Correct Answer: C
Rationale: Administering oxygen therapy is correct. A pulmonary embolism impairs oxygenation, and immediate oxygen administration improves delivery to vital organs. Morphine, cardiac monitoring, and IV fluids are secondary priorities.
Extract:
Nurses Notes
Client presents to the ED with substernal chest pain that comes and goes. The client states that the pain has been occurring for the last 8 hr. The pain, at times radiates down the left arm. Client also reports intermittent nausea
Client appears pale and slightly diaphoretic. Client rates current pain as 7 on a scale of 0 to 10
Question 3 of 5
Client presents to the ED with substernal chest pain that comes and goes. The client states that the pain has been occurring for the last 8 hr. The pain, at times radiates down the left arm. Client also reports intermittent nausea Client appears pale and slightly diaphoretic. Client rates current pain as 7 on a scale of 0 to 10. A nurse is caring for a client in the emergency department (ED). The nurse is planning care for the client. For each potential prescription. indicate whether it is indicated, nonessential, or contraindicated.
| Options | Non- Anticipated | Essential | Contraindicated |
|---|---|---|---|
| Obtain intravenous (IV) access | |||
| Obtain the client's family history | |||
| Apply continuous ECG monitoring | |||
| Administer Oâ‚‚ to maintain oxygen saturation greater than 90% |
Correct Answer: A,C,D
Rationale: Obtain intravenous (IV) access (
A), apply continuous ECG monitoring (
C), and administer Oâ‚‚ if saturation is below 90% (
D) are indicated for suspected MI. Obtaining family history (
B) is nonessential in the acute phase.
Extract:
Question 4 of 5
The emergency room nurse is assessing a client with jugular venous distention, ascites, shortness of breath, and a 3-pound weight gain in the past 24 hours. Which of the following would the nurse anticipate being ordered?
Correct Answer: C
Rationale: Brain Natriuretic Peptide (BNP) is correct. BNP is a key diagnostic marker for heart failure, indicating increased cardiac filling pressures and volume overload, which match the client's symptoms of jugular venous distention, ascites, shortness of breath, and weight gain. Pulmonary function tests, Alpha-1 antitrypsin, and Doppler ultrasound do not directly assess heart failure.
Question 5 of 5
A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?
Correct Answer: C
Rationale: Smoking cessation is the most effective measure for preventing chronic bronchitis, which is strongly linked to long-term cigarette smoking. Influenza immunization, exercise, and weight maintenance are beneficial but not primary preventive measures.