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 nurse is reviewing the EKG strip of a client who is hypotensive and is complaining of leg cramping. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?
Correct Answer: D
Rationale: Hypokalemia often causes a prominent U wave on an ECG due to delayed ventricular repolarization.
Question 3 of 5
A client with Sinus tachycardia has been admitted into the telemetry unit. The nurse identifies the following as possible causes of sinus tachycardia. Select all that apply
Correct Answer: A,C,E
Rationale: Fever, albuterol (a beta-agonist), and dehydration can increase heart rate, causing sinus tachycardia, while lisinopril and sleeping typically do not.
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 caring for a client who has a serum potassium level of 5.9 mEq/L. The provider prescribes polystyrene sulfonate. If this medication is effective, the nurse should expect which of the following changes on the client's ECG?
Correct Answer: C
Rationale: Polystyrene sulfonate reduces serum potassium levels. Hyperkalemia causes peaked T waves on an ECG, so effective treatment would result in a reduction of this abnormality.