ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
What is the purpose of a patient with COPD using an ipratropium inhaler?
Correct Answer: A
Rationale: Preventing bronchospasms and promoting bronchodilation is correct. Ipratropium is an anticholinergic bronchodilator that relaxes airway muscles, improving airflow in COPD patients. It does not monitor blood pressure, relieve nasal congestion, or primarily reduce coughing.
Question 2 of 5
The nurse is caring for a client status/post a Myocardial Infarction who is questioning procedures utilized for treatment. Which of the following statements correctly explains a Coronary Artery Bypass Grafting (CABG)?
Correct Answer: D
Rationale: CABG involves using a healthy artery or vein to bypass the blocked portion of a coronary artery, restoring blood flow. Balloon inflation, clot-dissolving medication, and dye injection describe other procedures (angioplasty, thrombolytics, angiogram).
Extract:
Vital Signs
Diagnostic Results
Nurses Notes
Temperature 37.2° C (98.9° F)
Heart rate 138/min
Respiratory rate 28/min
Blood pressure 96/75 mm Hg
Oxygen saturation 93%
Question 3 of 5
A nurse is admitting a client who has a history of heart failure. Check the 5 findings that require immediate follow-up.
| Vital signs |
| Respiratory assessment |
| Renal function |
| Cardiac enzymes |
| BNP |
| ECG results |
| Neurologic status |
Correct Answer: A,B,C,E,F
Rationale: Vital signs (
A), respiratory assessment (
B), renal function (
C), BNP (E), and ECG results (F) require immediate follow-up due to tachycardia, tachypnea, possible pulmonary edema, kidney impairment, and atrial fibrillation. Cardiac enzymes and neurologic status are less urgent.
Extract:
Question 4 of 5
The nurse identifies which of the following as the most common cause of a myocardial infarction?
Correct Answer: A
Rationale: Atherosclerosis is correct. It is the primary cause of myocardial infarction due to plaque buildup blocking coronary arteries, reducing oxygen to the heart. Obesity, hypertension, and diabetes are risk factors but not the direct cause.
Question 5 of 5
The nurse is providing care to a client with a suspected pulmonary embolism. Which of the following is not a manifestation of a pulmonary embolism?
Correct Answer: D
Rationale: Facial weakness is not a typical sign of pulmonary embolism. Hemoptysis, tachycardia, and even petechiae (in rare cases like fat embolism) can be associated, but facial weakness is more indicative of stroke or Bell's palsy.