ATI Cardiovascular Targeted Exam
|\ |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
A nurse is providing discharge teaching for a client who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
has a prescription for the transdermal nitroglycerin patch.
|\ |\ |\ |\ |\ |\ |\
Which of the following instructions should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
include in the teaching? |\ |\ |\
-Apply the new patch to the same site as the previous
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patch
-Place the patch on an area of skin away from skin folds
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and joints |\
-Keep the patch on 24 hr per day
|\ |\ |\ |\ |\ |\ |\
-Replace the patch at the onset of angina - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Place the patch on an area of skin away |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from skin folds and joints
|\ |\ |\ |\
A nurse in an emergency room is assessing a client who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
has a bradydysrhythmia. Which of the following findings
|\ |\ |\ |\ |\ |\ |\ |\
should the nurse monitor for? |\ |\ |\ |\
-Confusion
-Friction rub |\
-Hypertension
,-Dry skin - CORRECT ANSWERS ✔✔Confusion
|\ |\ |\ |\ |\
Bradydysrhythmia can cause decreased systemic |\ |\ |\ |\ |\
perfusion, which can lead to confusion. |\ |\ |\ |\ |\
A nurse is admitting a client who has a leg ulcer and a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
history of diabetes mellitus. The nurse should use which
|\ |\ |\ |\ |\ |\ |\ |\ |\
of the following focused assessments to help differentiate
|\ |\ |\ |\ |\ |\ |\
between an arterial ulcer and a venous stasis ulcer?
|\ |\ |\ |\ |\ |\ |\ |\ |\
-Explore the client's family history of peripheral vascular
|\ |\ |\ |\ |\ |\ |\ |\
disease
-Note the presence or absence of pain at the ulcer site
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
-Inquire about the presence or absence of claudication
|\ |\ |\ |\ |\ |\ |\
-Ask if the client has had a recent infection - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Inquire about the presence or absence of |\ |\ |\ |\ |\ |\ |\ |\
claudication
Clients who have arterial ulcers experience claudication,
|\ |\ |\ |\ |\ |\ |\
but those who have venous ulcers do not.
|\ |\ |\ |\ |\ |\ |\
A nurse is providing teaching for a client who is 2 days
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
postoperative following a heart transplant. Which of the |\ |\ |\ |\ |\ |\ |\ |\
following statements should the nurse include in the
|\ |\ |\ |\ |\ |\ |\ |\
teaching?
, -"You might no longer be able to feel chest pain."
|\ |\ |\ |\ |\ |\ |\ |\ |\
-"Your level of activity intolerance will not change."
|\ |\ |\ |\ |\ |\ |\
-"After 6 months, you will no longer need to restrict your
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sodium intake." |\
-"You will be able to stop taking immunosuppressants
|\ |\ |\ |\ |\ |\ |\ |\
after 12 months." - CORRECT ANSWERS ✔✔"You might no
|\ |\ |\ |\ |\ |\ |\ |\ |\
longer be able to feel chest pain."
|\ |\ |\ |\ |\ |\
Heart transplant clients usually are no longer able to feel
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chest pain due to the denervation of the heart.
|\ |\ |\ |\ |\ |\ |\ |\
A nurse is caring for a client who was admitted for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treatment of left-sided heart failure with intravenous loop
|\ |\ |\ |\ |\ |\ |\ |\
diuretics and digitalis therapy. The client is experiencing
|\ |\ |\ |\ |\ |\ |\ |\
weakness and an irregular heart rate. Which of the |\ |\ |\ |\ |\ |\ |\ |\ |\
following actions should the nurse take first? |\ |\ |\ |\ |\ |\
-Obtain client's current weight|\ |\ |\
-Review serum electrolyte values |\ |\ |\
-Determine the time of the last digoxin dose |\ |\ |\ |\ |\ |\ |\
-Check the client's urine output - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Review serum electrolyte values. |\ |\ |\
|\ |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
A nurse is providing discharge teaching for a client who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
has a prescription for the transdermal nitroglycerin patch.
|\ |\ |\ |\ |\ |\ |\
Which of the following instructions should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
include in the teaching? |\ |\ |\
-Apply the new patch to the same site as the previous
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patch
-Place the patch on an area of skin away from skin folds
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and joints |\
-Keep the patch on 24 hr per day
|\ |\ |\ |\ |\ |\ |\
-Replace the patch at the onset of angina - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Place the patch on an area of skin away |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from skin folds and joints
|\ |\ |\ |\
A nurse in an emergency room is assessing a client who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
has a bradydysrhythmia. Which of the following findings
|\ |\ |\ |\ |\ |\ |\ |\
should the nurse monitor for? |\ |\ |\ |\
-Confusion
-Friction rub |\
-Hypertension
,-Dry skin - CORRECT ANSWERS ✔✔Confusion
|\ |\ |\ |\ |\
Bradydysrhythmia can cause decreased systemic |\ |\ |\ |\ |\
perfusion, which can lead to confusion. |\ |\ |\ |\ |\
A nurse is admitting a client who has a leg ulcer and a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
history of diabetes mellitus. The nurse should use which
|\ |\ |\ |\ |\ |\ |\ |\ |\
of the following focused assessments to help differentiate
|\ |\ |\ |\ |\ |\ |\
between an arterial ulcer and a venous stasis ulcer?
|\ |\ |\ |\ |\ |\ |\ |\ |\
-Explore the client's family history of peripheral vascular
|\ |\ |\ |\ |\ |\ |\ |\
disease
-Note the presence or absence of pain at the ulcer site
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
-Inquire about the presence or absence of claudication
|\ |\ |\ |\ |\ |\ |\
-Ask if the client has had a recent infection - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Inquire about the presence or absence of |\ |\ |\ |\ |\ |\ |\ |\
claudication
Clients who have arterial ulcers experience claudication,
|\ |\ |\ |\ |\ |\ |\
but those who have venous ulcers do not.
|\ |\ |\ |\ |\ |\ |\
A nurse is providing teaching for a client who is 2 days
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
postoperative following a heart transplant. Which of the |\ |\ |\ |\ |\ |\ |\ |\
following statements should the nurse include in the
|\ |\ |\ |\ |\ |\ |\ |\
teaching?
, -"You might no longer be able to feel chest pain."
|\ |\ |\ |\ |\ |\ |\ |\ |\
-"Your level of activity intolerance will not change."
|\ |\ |\ |\ |\ |\ |\
-"After 6 months, you will no longer need to restrict your
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sodium intake." |\
-"You will be able to stop taking immunosuppressants
|\ |\ |\ |\ |\ |\ |\ |\
after 12 months." - CORRECT ANSWERS ✔✔"You might no
|\ |\ |\ |\ |\ |\ |\ |\ |\
longer be able to feel chest pain."
|\ |\ |\ |\ |\ |\
Heart transplant clients usually are no longer able to feel
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chest pain due to the denervation of the heart.
|\ |\ |\ |\ |\ |\ |\ |\
A nurse is caring for a client who was admitted for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treatment of left-sided heart failure with intravenous loop
|\ |\ |\ |\ |\ |\ |\ |\
diuretics and digitalis therapy. The client is experiencing
|\ |\ |\ |\ |\ |\ |\ |\
weakness and an irregular heart rate. Which of the |\ |\ |\ |\ |\ |\ |\ |\ |\
following actions should the nurse take first? |\ |\ |\ |\ |\ |\
-Obtain client's current weight|\ |\ |\
-Review serum electrolyte values |\ |\ |\
-Determine the time of the last digoxin dose |\ |\ |\ |\ |\ |\ |\
-Check the client's urine output - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Review serum electrolyte values. |\ |\ |\
