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 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 3 of 5
The charge nurse is making assignments for clients on a cardiac unit. Which client should the charge nurse assign to a new graduate nurse?
Correct Answer: C
Rationale: A stable client scheduled for a procedure with teaching needs is appropriate for a new graduate, as it involves less acute management compared to MI, chest pain, or unstable angina.
Question 4 of 5
A nurse is caring for a client who has developed a thrombus and is receiving heparin by continuous IV infusion. The client asks the nurse how long will it take for the heparin to dissolve the clot. Which of the following responses should the nurse give?
Correct Answer: A
Rationale: Heparin prevents further clot formation by enhancing antithrombin activity but does not dissolve existing clots; thrombolytics are needed for that.
Extract:
Read orders by the prescriber and answer the question.
Prescriber's orders
Labs: PT, PTT, INR
Unsupervised ambulation every 1 hr
Give protamine sulfate STAT
Give Aspirin orally daily
Continue unrestricted regular diet
Give vitamin K STAT
Initiate bleeding precautions
Question 5 of 5
A nurse is admitting a client who has been in Atrial Fibrillation for 24 hours. Which of the following interventions does the nurse plan to complete?
Correct Answer: A,B,C,D
Rationale: For atrial fibrillation over 24 hours, anticoagulation (heparin, Coumadin) is planned to prevent thromboembolism, labs monitor clotting, and vitamin K reverses anticoagulation if needed.