lOMoARcPSD|3920845
ATI RN ADULT MED SURG 2019 EXAM - STUDY GUIDE
1. A client is being seen in the clinic to R/O mitral valve stenosis. Which assessment data
would be most significant?
The client c/o SOB when walking
2. Which assessment data would the nurse expect to auscultate in the client diagnosed w/
mitral valve insufficiency?
A holosystolic murmur heard best at cardiac apex
3. The client has just received a mechanical valve replacement. Which behavior by
the client indicates the client needs more teaching?
The client takes an enteric-coated aspirin daily
4. The nurse is teaching a class on valve replacements. Which statement identifies
a disadvantage of having a biologic tissue valve replacement?
The valve has to be replaced frequently
5. The nurse is preparing to administer warfarin, an oral anticoagulant, to a client with a
mechanical valve replacement. The client’s INR is 2.7. Which action should the
nurse implement?
Administer the medication as ordered
6. Which s/s should the nurse assess in any client who has a long term valvular
heart disease?
Paroxysmal nocturnal dyspnea
Orthopnea
Cough
7. The client is being evaluated for valvular heart disease. Which information would
be most significant?
The client has a hx of rheumatic heart disease
8. The client who has just had a percutaneous balloon valvuloplasty is in the recovery
room. Which intervention should the recovery room nurse implement?
Keep the client’s affected leg straight
, lOMoARcPSD|3920845
9. The client w/ a mechanical valve replacement asks the nurse, “Why do I have to take
abx before getting my teeth cleaned?” Which response by the nurse is most appropriate?
“You are at risk for developing an infection in your heart.”
10. The client had open heart surgery to replace the mitral valve. Which intervention
should the ICU nurse implement?
Restrict the client’s fluids as ordered
11. Which client would the nurse suspect of having a mitral valve prolapse?
A 23 yo male w/ Marfan syndrome
12. The charge nurse is making shift assignments. Which client would be most appropriate
for the charge nurse to assign to a new gad that just completed orientation to the
medical floor?
The client 3 days post MI who is being discharged tomorrow.
13. The client is diagnosed w/ pericarditis. Which are the most common s/s the nurse
would expect to find when assessing this client?
Increased chest pain w/ inspiration
14. The client is diagnosed w/ acute pericarditis. Which s/s warrants immediate attention
by the nurse?
Muffled heart sounds
15. The client is admitted to the medical unit to rule out carditis. Which question should
the nurse ask the client during the admission interview to support this diagnosis?
“Did you have rheumatic fever as a child?”
16. The client w/ pericarditis is prescribed a NSAID. Which teaching instruction should
the nurse discuss w/ the client?
Instruct the client to take the medication w/ food
17. The client diagnosed w/ pericarditis is complaining of increased pain. Which
intervention should the nurse implement first?
Assess the client for cardiac complications
, lOMoARcPSD|3920845
18. The client diagnosed w/ pericarditis is experiencing cardiac tamponade.
Which collaborative intervention should the nurse anticipate for this client?
Prepare for a pericardiocentesis
19. The female client is diagnosed w/ rheumatic fever and prescribed penicillin, an
antibiotic. Which statement indicates the client needs more teaching concerning the
discharge teaching?
“I will have no problems as long as I take my medication.”
20. Which potential complication should the nurse assess for in the client w/
infective endocarditis who has embolization of vegetative lesions from the mital
valve?
Decreased urine output
21. Which nursing diagnosis would be priority for the client diagnosed w/ myocarditis?
Activity intolerance r/t impaired cardiac muscle function
22. The client diagnosed w/ pericarditis is being discharged home. Which intervention
should the nurse include in the discharge teaching?
Be sure to allow for uninterrupted rest and sleep
23. The client has just had a pericardiocentesis. Which interventions should the
nurse implement? Select all that apply.
Monitor VS every 15 mins for the first hour
Assess the client’s heart and lung sounds
Record the amount of fluid removed as output
Elevate the client’s cardiac rhythm
24. The client w/ infective endocarditis is admitted to the medical department. Which
HCP’s order should be implemented first?
Obtain blood cultures times two
25. The nurse is caring for a client on a cardiac floor. Which client should the nurse
assess first?
The client diagnosed w/ mitral valve prolapse w/ an audible S3
ATI RN ADULT MED SURG 2019 EXAM - STUDY GUIDE
1. A client is being seen in the clinic to R/O mitral valve stenosis. Which assessment data
would be most significant?
The client c/o SOB when walking
2. Which assessment data would the nurse expect to auscultate in the client diagnosed w/
mitral valve insufficiency?
A holosystolic murmur heard best at cardiac apex
3. The client has just received a mechanical valve replacement. Which behavior by
the client indicates the client needs more teaching?
The client takes an enteric-coated aspirin daily
4. The nurse is teaching a class on valve replacements. Which statement identifies
a disadvantage of having a biologic tissue valve replacement?
The valve has to be replaced frequently
5. The nurse is preparing to administer warfarin, an oral anticoagulant, to a client with a
mechanical valve replacement. The client’s INR is 2.7. Which action should the
nurse implement?
Administer the medication as ordered
6. Which s/s should the nurse assess in any client who has a long term valvular
heart disease?
Paroxysmal nocturnal dyspnea
Orthopnea
Cough
7. The client is being evaluated for valvular heart disease. Which information would
be most significant?
The client has a hx of rheumatic heart disease
8. The client who has just had a percutaneous balloon valvuloplasty is in the recovery
room. Which intervention should the recovery room nurse implement?
Keep the client’s affected leg straight
, lOMoARcPSD|3920845
9. The client w/ a mechanical valve replacement asks the nurse, “Why do I have to take
abx before getting my teeth cleaned?” Which response by the nurse is most appropriate?
“You are at risk for developing an infection in your heart.”
10. The client had open heart surgery to replace the mitral valve. Which intervention
should the ICU nurse implement?
Restrict the client’s fluids as ordered
11. Which client would the nurse suspect of having a mitral valve prolapse?
A 23 yo male w/ Marfan syndrome
12. The charge nurse is making shift assignments. Which client would be most appropriate
for the charge nurse to assign to a new gad that just completed orientation to the
medical floor?
The client 3 days post MI who is being discharged tomorrow.
13. The client is diagnosed w/ pericarditis. Which are the most common s/s the nurse
would expect to find when assessing this client?
Increased chest pain w/ inspiration
14. The client is diagnosed w/ acute pericarditis. Which s/s warrants immediate attention
by the nurse?
Muffled heart sounds
15. The client is admitted to the medical unit to rule out carditis. Which question should
the nurse ask the client during the admission interview to support this diagnosis?
“Did you have rheumatic fever as a child?”
16. The client w/ pericarditis is prescribed a NSAID. Which teaching instruction should
the nurse discuss w/ the client?
Instruct the client to take the medication w/ food
17. The client diagnosed w/ pericarditis is complaining of increased pain. Which
intervention should the nurse implement first?
Assess the client for cardiac complications
, lOMoARcPSD|3920845
18. The client diagnosed w/ pericarditis is experiencing cardiac tamponade.
Which collaborative intervention should the nurse anticipate for this client?
Prepare for a pericardiocentesis
19. The female client is diagnosed w/ rheumatic fever and prescribed penicillin, an
antibiotic. Which statement indicates the client needs more teaching concerning the
discharge teaching?
“I will have no problems as long as I take my medication.”
20. Which potential complication should the nurse assess for in the client w/
infective endocarditis who has embolization of vegetative lesions from the mital
valve?
Decreased urine output
21. Which nursing diagnosis would be priority for the client diagnosed w/ myocarditis?
Activity intolerance r/t impaired cardiac muscle function
22. The client diagnosed w/ pericarditis is being discharged home. Which intervention
should the nurse include in the discharge teaching?
Be sure to allow for uninterrupted rest and sleep
23. The client has just had a pericardiocentesis. Which interventions should the
nurse implement? Select all that apply.
Monitor VS every 15 mins for the first hour
Assess the client’s heart and lung sounds
Record the amount of fluid removed as output
Elevate the client’s cardiac rhythm
24. The client w/ infective endocarditis is admitted to the medical department. Which
HCP’s order should be implemented first?
Obtain blood cultures times two
25. The nurse is caring for a client on a cardiac floor. Which client should the nurse
assess first?
The client diagnosed w/ mitral valve prolapse w/ an audible S3
