ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
The nurse is providing education to a client on ways to prevent the development of a pulmonary embolism. Which of the following statements would require further teaching?
Correct Answer: A
Rationale: Crossing the legs increases the risk of venous stasis and clot formation, requiring further teaching. Quitting smoking, staying hydrated, and exercising are appropriate preventive measures.
Question 2 of 5
A nurse is teaching a client who has emphysema about self-management strategies. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Pursed-lip breathing slows exhalation, preventing airway collapse and improving oxygenation. High-calorie diets, abdominal breathing in prone position, and avoiding flu shots are not optimal strategies.
Question 3 of 5
Why are small, frequent meals recommended for patients with Chronic Obstructive Pulmonary Disease (COPD)?
Correct Answer: D
Rationale: Small, frequent meals reduce abdominal distention and diaphragm pressure, preventing dyspnea. Caloric intake, social interaction, and balanced diet are secondary considerations.
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 4 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 5 of 5
A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Encouraging the client to express fears allows emotional support and assessment. Providing health advice, dismissing fears, or referring to a physician too soon misses the opportunity for immediate support.