ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
Which of the following describe a non-ST segment elevation myocardial infarction (NSTEMI)?
Correct Answer: C
Rationale: An NSTEMI occurs due to a partial occlusion of a coronary artery, causing ischemia without ST-segment elevation. Complete occlusion describes STEMI, and exertional chest pain describes stable angina.
Question 2 of 5
Which of the following is a complication of heart failure?
Correct Answer: A
Rationale: Pleural effusion is a common complication of heart failure. Increased pulmonary circulation pressure causes fluid accumulation in the pleural space. Infection, asthma, and hemorrhage are not direct complications of heart failure.
Question 3 of 5
The emergency room nurse is assessing a client with jugular venous distention, ascites, shortness of breath, and a 3-pound weight gain in the past 24 hours. Which of the following would the nurse anticipate being ordered?
Correct Answer: C
Rationale: Brain Natriuretic Peptide (BNP) is correct. BNP is a key diagnostic marker for heart failure, indicating increased cardiac filling pressures and volume overload, which match the client's symptoms of jugular venous distention, ascites, shortness of breath, and weight gain. Pulmonary function tests, Alpha-1 antitrypsin, and Doppler ultrasound do not directly assess heart failure.
Question 4 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.
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 5 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.