ATI MED SURG TEST EXAM 2 2026 CLINICAL
DECISION MAKING PRACTICE SET ANSWERS
FULL SOLUTION
◉ Hemodynamic monitoring is performed where?
Answer: in ICU and allows for direct cardiac monitoring
◉ homocysteine
Answer: damage the endothelial lining of the arteries
increase risk for thrombus formation and lead to stroke, CAD, and
peripheral artery disease
◉ the radiology procedure ECHOCARDIOGRAM shows what about
the heart?
Answer: direction of blood flow
heart shape and size
ventricular function
ejection fraction
◉ the purpose of a cardiac stress test?
,Answer: to determine the hearts ability to respond to increase
oxygen demand
◉ this protein triggers sodium excretion and a decrease in volume?
Answer: Brain Natriuretic Peptide (BNP)
◉ these protein levels increase as ventricular pressure increase in
order to rid the body of excess fluid?
Answer: Brain Natriuretic Peptide (BNP)
◉ BNP level greater than _____ suggests what?
Answer: BNP levels greater than 100 suggest heart failure
◉ contrast medium is contraindicated in what type of patients?
Answer: patients who are allergic to iodine, shellfish or seafood
patients who are pregnant or has elevated creatinine levels
◉ contrast medium is?
Answer: nephrotoxic
◉ Premature Ventricular Contractions could trigger ?
Answer: life threatening dysrthymias
,◉ therapeutic INR levels for coumadin when used for a-fib is?
Answer: INR 2-3
◉ complication that may occur following cardiac catherization?
Answer: fatal dysrhythmias
◉ Adventitious sound heard of the lower airway narrowing?
Answer: wheezing
◉ fluid accumulation in the lower basis of the lungs, you will hear
what sound?
Answer: crackles
◉ what suggest increase pressure and filling volumes in the
ventricles?
Answer: JVD
Peripheral edema
hepatomegaly
scrotal edema
shortness of breath
crackles
, ◉ S3 in older adults are significant and may suggest?
Answer: heart failure
◉ Valve disorders contribute to?
Answer: turbulent blood flow and heart murmurs
◉ what is an MI?
Answer: blockages or constriction of the coronary arteries
◉ unresolved ischemia leads to?
Answer: necrosis of myocardial cells and the release of enzymes
(CK-MB creatine) and proteins (Troponin, Troponin 1, kinase, and
myoglobin) into the blood stream
◉ blood flow through the right atrium is done through?
Answer: the inferior and superior vena cava
◉ this initiates the impulse that causes atrial contraction?
Answer: Sinostrial (SA) node
◉ the SA node is observed by what wave on the the EKG?
DECISION MAKING PRACTICE SET ANSWERS
FULL SOLUTION
◉ Hemodynamic monitoring is performed where?
Answer: in ICU and allows for direct cardiac monitoring
◉ homocysteine
Answer: damage the endothelial lining of the arteries
increase risk for thrombus formation and lead to stroke, CAD, and
peripheral artery disease
◉ the radiology procedure ECHOCARDIOGRAM shows what about
the heart?
Answer: direction of blood flow
heart shape and size
ventricular function
ejection fraction
◉ the purpose of a cardiac stress test?
,Answer: to determine the hearts ability to respond to increase
oxygen demand
◉ this protein triggers sodium excretion and a decrease in volume?
Answer: Brain Natriuretic Peptide (BNP)
◉ these protein levels increase as ventricular pressure increase in
order to rid the body of excess fluid?
Answer: Brain Natriuretic Peptide (BNP)
◉ BNP level greater than _____ suggests what?
Answer: BNP levels greater than 100 suggest heart failure
◉ contrast medium is contraindicated in what type of patients?
Answer: patients who are allergic to iodine, shellfish or seafood
patients who are pregnant or has elevated creatinine levels
◉ contrast medium is?
Answer: nephrotoxic
◉ Premature Ventricular Contractions could trigger ?
Answer: life threatening dysrthymias
,◉ therapeutic INR levels for coumadin when used for a-fib is?
Answer: INR 2-3
◉ complication that may occur following cardiac catherization?
Answer: fatal dysrhythmias
◉ Adventitious sound heard of the lower airway narrowing?
Answer: wheezing
◉ fluid accumulation in the lower basis of the lungs, you will hear
what sound?
Answer: crackles
◉ what suggest increase pressure and filling volumes in the
ventricles?
Answer: JVD
Peripheral edema
hepatomegaly
scrotal edema
shortness of breath
crackles
, ◉ S3 in older adults are significant and may suggest?
Answer: heart failure
◉ Valve disorders contribute to?
Answer: turbulent blood flow and heart murmurs
◉ what is an MI?
Answer: blockages or constriction of the coronary arteries
◉ unresolved ischemia leads to?
Answer: necrosis of myocardial cells and the release of enzymes
(CK-MB creatine) and proteins (Troponin, Troponin 1, kinase, and
myoglobin) into the blood stream
◉ blood flow through the right atrium is done through?
Answer: the inferior and superior vena cava
◉ this initiates the impulse that causes atrial contraction?
Answer: Sinostrial (SA) node
◉ the SA node is observed by what wave on the the EKG?
