ATI RN
ATI RN Custom 2023 Med-Surg Cardiovascular Questions
Extract:
Question 1 of 5
Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?
Correct Answer: B
Rationale: Jugular venous distention is a key sign of constrictive pericarditis due to impaired diastolic filling; its reduction indicates effective therapy.
Question 2 of 5
A client is experiencing atrial fibrillation for 2 weeks and did not respond to medication therapy. The client is scheduled for an elective (outpatient) cardioversion. Which other procedure or test does the nurse anticipate this client will need?
Correct Answer: B
Rationale: A transesophageal echocardiogram is needed before cardioversion in prolonged atrial fibrillation to rule out atrial thrombi, which could embolize during the procedure.
Question 3 of 5
A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate on the cardiac monitor. Which dysrhythmias should the nurse expect to find on the EKG?
Correct Answer: D
Rationale: Symptoms of irregular palpitations, fatigue, and dizziness with a rapid, irregular heart rate are classic for atrial fibrillation.
Question 4 of 5
As the registered nurse, which tasks below should you NOT delegate to the LPN?
Correct Answer: D
Rationale: Starting a blood transfusion involves initial assessment and monitoring for reactions, which cannot be delegated to an LPN; RNs must perform this task.
Question 5 of 5
A nurse is educating a patient with a newly placed pacemaker about a variety of complementary and alternative therapies. What type of therapy is contraindicated in patients with pacemakers?
Correct Answer: B
Rationale: Magnetic therapy can interfere with pacemaker function due to electromagnetic fields, making it contraindicated.