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. Other actions follow after ensuring the client is seated.
Question 2 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 3 of 5
A nurse is caring for a client with a diagnosis of left-sided heart failure. The nurse expects what assessment findings associated with left-sided heart failure? (Select All that Apply.)
Correct Answer: C,D,E
Rationale: Crackles in the lungs (
C), confusion (
D), and exertional dyspnea (E) are expected. Left-sided heart failure causes pulmonary congestion (crackles, dyspnea) and reduced cerebral perfusion (confusion). Ascites and leg edema are associated with right-sided heart failure.
Question 4 of 5
A nurse is teaching a client who has chronic obstructive pulmonary disease (COPD) about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Holding the breath for 10 seconds after inhaling allows medication absorption. Waiting 10 minutes, quick inhalation, or exhaling during inhalation are incorrect techniques.
Question 5 of 5
The nurse recognizes which of the following as a risk factor for obstructive sleep apnea?
Correct Answer: C
Rationale: Obesity is correct. Excess weight, particularly around the neck, increases the risk of airway obstruction during sleep, making obesity a major risk factor for obstructive sleep apnea. Deep vein thrombosis is not a known risk factor. Being female is incorrect as obstructive sleep apnea is more common in males. Atherosclerosis is not a direct risk factor, though untreated sleep apnea can contribute to cardiovascular issues.