ATI CARDIAC QUESTIONS WITH COMPLETE
SOLUTIONS
You are reviewing the chart of a PT who is receiving heparin therapy for a DVT.
| | | | | | | | | | | | | | |
Which intervention should the RN anticipate taking if the PTs aPTT is 96 seconds?
| | | | | | | | | | | | | |
1. Increase heparin infusion rate by 2mL/hr
| | | | | |
2. Continue monitor the heparin infusion as prescribed
| | | | | | |
3. Request a prothrombin time PT
| | | | |
4. Stop the heparin infusion - CORRECT ANSWER✔✔-4. Stop the heparin infusion-
| | | | | | | | | | |
pt is above the therapeutic range of 1-5-2 times the control. should discontinue
| | | | | | | | | | | | |
to prevent harm
| | |
You are providing teaching to a PT who is 2 days post op following a heart
| | | | | | | | | | | | | | |
transplant. Which following statements should the nurse include in the teaching?
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1. You may no longer be able to feel chest pain
| | | | | | | | | |
2. Your level of activity intolerance will not change
| | | | | | | |
3. after 6 months you will no longer need to restrict you Na
| | | | | | | | | | | |
4. You will be able to stop taking immunosuppressants after 12 months -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-1. You may no longer be able to feel chest pain-
| | | | | | | | | | | |
transplant PTs no longer feel chest pain due to denervation of the heart
| | | | | | | | | | | | |
ER nurse is assessing PT with bradydysrhythmia. Which finding should he expect?
| | | | | | | | | | |
,1. Confusion
|
2. Friction Rub
| |
3. HTN
|
4. Dry skin - CORRECT ANSWER✔✔-1. Confusion- as a result of decreased tissue
| | | | | | | | | | | |
perfusion
|
You are caring for a PT who had an anterior MI. PTs hx shows she is 1 wk post op
| | | | | | | | | | | | | | | | | | |
open cholecystectomy the RN knows that which intervention is contraindicated?
| | | | | | | | | |
1. Administering IV morphine
| | |
2. giving O2 at 2L NC
| | | | |
3. Helping client to BSC
| | | |
4. Assisting in thrombolytic therapy - CORRECT ANSWER✔✔-4. Assisting in
| | | | | | | | |
thrombolytic therapy- having surgery within 3 wks is a contraindication for
| | | | | | | | | | |
thrombolytic therapy
| |
You are caring for a PT who has endocarditis. Which finding should you recognize
| | | | | | | | | | | | |
as a complication?
| | |
1. Ventricular depolarization
| |
2. Guillain Barre Syndrome
| | |
3. Myelodysplastic syndrome
| |
4. Valvular disease - CORRECT ANSWER✔✔-4. Valvular disease- damage will occur
| | | | | | | | | |
as a result of inflammation or infection of the endocardium
| | | | | | | | | |
,You are caring for PT with BP of 254/139, you recognize the PT is in a
| | | | | | | | | | | | | | |
hypertensive crisis. Which action should you take first?
| | | | | | | |
1. Obtain blood samples for testing
| | | | |
2. Tell the PT to report vision changes
| | | | | | |
3. Place HOB at 45 degrees
| | | | |
4. Initiate IV access - CORRECT ANSWER✔✔-3. Place HOB at 45 degrees-ABC's this
| | | | | | | | | | | |
will promote respiratory status and promote venous return reducing workload on
| | | | | | | | | | |
heart
|
**Initiate IV access- not first action
| | | | |
When performing a cardiac assessment what is the point of maximal impulse?
| | | | | | | | | | |
1. 2nd intercostal space right to the sternum
| | | | | | |
2. 2nd intercostal space left to the sternum
| | | | | | |
3. 5th intercostal space to the left of thermal border
| | | | | | | | |
4. Left 5th intercostal space in the midclavicular line - CORRECT ANSWER✔✔-4.
| | | | | | | | | | |
Left 5th intercostal space in the midclavicular line-this is best to hear the apex of
| | | | | | | | | | | | | | |
the heart which is considered maximal impulse
| | | | | | |
You are caring for a PT who is experiencing Afib. You should report what finding
| | | | | | | | | | | | | |
to the provider?
| | |
, 1. Slurred speech
| |
2. Irregular pulse
| |
3. Dependent edema
| |
4. Persistant fatigue - CORRECT ANSWER✔✔-1. Slurred speech- greatest risk is an
| | | | | | | | | | |
embolus and this can indicate embolus
| | | | | |
You are assessing a PT with Left sided heart failure. What manifestation should
| | | | | | | | | | | |
you expect to find?
| | | |
1. Increased abdominal girth
| | |
2. Weak peripheral pulses
| | |
3. Jugular venous neck distention
| | | |
4. Dependent edema - CORRECT ANSWER✔✔-2. Weak peripheral pulses- r/t
| | | | | | | | |
decreased CO from LSHF
| | | |
You are caring for a PT who is being treated for HF and has prescriptions for
| | | | | | | | | | | | | | |
digoxin and furosemide. You plan to monitor for which of the following as an
| | | | | | | | | | | | | |
adverse effect of these meds?
| | | | |
1. SOB
|
2. Lightheadedness
|
3. Dry cough
| |
4. Metallic taste - CORRECT ANSWER✔✔-2. Lightheadedness- can cause a sudden
| | | | | | | | | |
drop in BP= lightheadedness
| | | |
SOLUTIONS
You are reviewing the chart of a PT who is receiving heparin therapy for a DVT.
| | | | | | | | | | | | | | |
Which intervention should the RN anticipate taking if the PTs aPTT is 96 seconds?
| | | | | | | | | | | | | |
1. Increase heparin infusion rate by 2mL/hr
| | | | | |
2. Continue monitor the heparin infusion as prescribed
| | | | | | |
3. Request a prothrombin time PT
| | | | |
4. Stop the heparin infusion - CORRECT ANSWER✔✔-4. Stop the heparin infusion-
| | | | | | | | | | |
pt is above the therapeutic range of 1-5-2 times the control. should discontinue
| | | | | | | | | | | | |
to prevent harm
| | |
You are providing teaching to a PT who is 2 days post op following a heart
| | | | | | | | | | | | | | |
transplant. Which following statements should the nurse include in the teaching?
| | | | | | | | | | |
1. You may no longer be able to feel chest pain
| | | | | | | | | |
2. Your level of activity intolerance will not change
| | | | | | | |
3. after 6 months you will no longer need to restrict you Na
| | | | | | | | | | | |
4. You will be able to stop taking immunosuppressants after 12 months -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-1. You may no longer be able to feel chest pain-
| | | | | | | | | | | |
transplant PTs no longer feel chest pain due to denervation of the heart
| | | | | | | | | | | | |
ER nurse is assessing PT with bradydysrhythmia. Which finding should he expect?
| | | | | | | | | | |
,1. Confusion
|
2. Friction Rub
| |
3. HTN
|
4. Dry skin - CORRECT ANSWER✔✔-1. Confusion- as a result of decreased tissue
| | | | | | | | | | | |
perfusion
|
You are caring for a PT who had an anterior MI. PTs hx shows she is 1 wk post op
| | | | | | | | | | | | | | | | | | |
open cholecystectomy the RN knows that which intervention is contraindicated?
| | | | | | | | | |
1. Administering IV morphine
| | |
2. giving O2 at 2L NC
| | | | |
3. Helping client to BSC
| | | |
4. Assisting in thrombolytic therapy - CORRECT ANSWER✔✔-4. Assisting in
| | | | | | | | |
thrombolytic therapy- having surgery within 3 wks is a contraindication for
| | | | | | | | | | |
thrombolytic therapy
| |
You are caring for a PT who has endocarditis. Which finding should you recognize
| | | | | | | | | | | | |
as a complication?
| | |
1. Ventricular depolarization
| |
2. Guillain Barre Syndrome
| | |
3. Myelodysplastic syndrome
| |
4. Valvular disease - CORRECT ANSWER✔✔-4. Valvular disease- damage will occur
| | | | | | | | | |
as a result of inflammation or infection of the endocardium
| | | | | | | | | |
,You are caring for PT with BP of 254/139, you recognize the PT is in a
| | | | | | | | | | | | | | |
hypertensive crisis. Which action should you take first?
| | | | | | | |
1. Obtain blood samples for testing
| | | | |
2. Tell the PT to report vision changes
| | | | | | |
3. Place HOB at 45 degrees
| | | | |
4. Initiate IV access - CORRECT ANSWER✔✔-3. Place HOB at 45 degrees-ABC's this
| | | | | | | | | | | |
will promote respiratory status and promote venous return reducing workload on
| | | | | | | | | | |
heart
|
**Initiate IV access- not first action
| | | | |
When performing a cardiac assessment what is the point of maximal impulse?
| | | | | | | | | | |
1. 2nd intercostal space right to the sternum
| | | | | | |
2. 2nd intercostal space left to the sternum
| | | | | | |
3. 5th intercostal space to the left of thermal border
| | | | | | | | |
4. Left 5th intercostal space in the midclavicular line - CORRECT ANSWER✔✔-4.
| | | | | | | | | | |
Left 5th intercostal space in the midclavicular line-this is best to hear the apex of
| | | | | | | | | | | | | | |
the heart which is considered maximal impulse
| | | | | | |
You are caring for a PT who is experiencing Afib. You should report what finding
| | | | | | | | | | | | | |
to the provider?
| | |
, 1. Slurred speech
| |
2. Irregular pulse
| |
3. Dependent edema
| |
4. Persistant fatigue - CORRECT ANSWER✔✔-1. Slurred speech- greatest risk is an
| | | | | | | | | | |
embolus and this can indicate embolus
| | | | | |
You are assessing a PT with Left sided heart failure. What manifestation should
| | | | | | | | | | | |
you expect to find?
| | | |
1. Increased abdominal girth
| | |
2. Weak peripheral pulses
| | |
3. Jugular venous neck distention
| | | |
4. Dependent edema - CORRECT ANSWER✔✔-2. Weak peripheral pulses- r/t
| | | | | | | | |
decreased CO from LSHF
| | | |
You are caring for a PT who is being treated for HF and has prescriptions for
| | | | | | | | | | | | | | |
digoxin and furosemide. You plan to monitor for which of the following as an
| | | | | | | | | | | | | |
adverse effect of these meds?
| | | | |
1. SOB
|
2. Lightheadedness
|
3. Dry cough
| |
4. Metallic taste - CORRECT ANSWER✔✔-2. Lightheadedness- can cause a sudden
| | | | | | | | | |
drop in BP= lightheadedness
| | | |
