ATI real life RN: MI complications Questions and Answers
(Med Surg)
Ventricular pseudoaneurysm formation: Occurs 3-14 days after MI. Contained free wall
rupture; ↓ CO, risk of arrhythmia, embolus from mural thrombus.
Mr. Davis has taken the first dose of nitroglycerin. Which of the following actions should be
taken next?: B. Mrs. Davis should call 911 if her husband's chest pain is not relieved within 5
minutes.
rationale: unresolved chest pain with the admin of nitro can indicate MI, so call 911 if pain
continues and should also take another does of nitro. for unresolved chest pain a total of 3
doses of nitro admin 5 min apart. should also take 325 mg dose aspirin to inhibit platelet
aggregation which can reduce cardiac damage from the formation of a thrombus
Cardiac arrhythmia: Occurs within the first few days after MI. Important cause of death before
reaching the hospital and within the first 24 hours post-MI.
Nurse Carl is teaching Mr. Davis about taking lisinopril for HTN. which of the following info
should Carl include in teaching? A. "report a persistent dry cough"
rationale: AE of lisinopril
Nurse Christine is reviewing Mr. Davis' ECG strip, which was completed a t1725. which pattern
on the ECG strip is the priority finding? hotspot: B.
rationale: priority is ST-segment elevation, possibly indicating a acute coronary even which is
the greatest risk
Nurse Christine is preparing to initiate the prescriptions for Mr. Davis. Which of the following
prescriptions should she expect to initiate? (Select all that apply.): A. chest x-ray
B. troponin level
C. morphine
E. potassium and creatinine levels
, LV failure and pulmonary edema: Can occur 2° to LV infarction, VSD, free wall rupture,
papillary muscle rupture with mitral regurgitation.
Mr. Davis is reporting itching over his arms and chest. What is the most appropriate action
Nurse Carl should take?: The priority action nurse Carl should take is to check Mr. Davis's
medical record for a shell fish allergy. Nurse Carl should recognize the possibility of an allergic
reaction related to a shellfish
allergy. Record the allergy to shellfish in the medical record and notify the provider of the allergy
and Mr. Davis's report of itching. The provider can determine if Mr.
Davis is having a delayed allergic reaction to the contrast dye used during cardiac
catheterization. Nurse Carl should check the client's skin for a rash and request a
prescription for diphenhydramine IV to decrease the itching.
Nurse Carl is assessing Mr. Davis's breath sounds and suspects Mr. Davis is starting
to experience a moderate systemic reaction to the contrast dye used for the heart
catheterization. Which of the following breath sounds should the nurse expect to hear during
auscultation?: C. wheezing
Nurse Carl has listened to Mr. Davis's breath sounds and recognizes the manifestations of
Mr. Davis's condition. Nurse Carl should expect a prescription for which of the following
medications?: B. Epinephrine IV
rationale: to promote bronchodilation, vasoconstriction, and maintenance of the BP
and HR
Nurse Carl is completing a post-heart catheterization assessment of Mr. Davis. Which of
the following observations should Carl address first?: A. a developing hematoma at the puncture
site
rationale: hematoma is indication the pt is having active bleeding into groin tissue and requires
immediate action
(Med Surg)
Ventricular pseudoaneurysm formation: Occurs 3-14 days after MI. Contained free wall
rupture; ↓ CO, risk of arrhythmia, embolus from mural thrombus.
Mr. Davis has taken the first dose of nitroglycerin. Which of the following actions should be
taken next?: B. Mrs. Davis should call 911 if her husband's chest pain is not relieved within 5
minutes.
rationale: unresolved chest pain with the admin of nitro can indicate MI, so call 911 if pain
continues and should also take another does of nitro. for unresolved chest pain a total of 3
doses of nitro admin 5 min apart. should also take 325 mg dose aspirin to inhibit platelet
aggregation which can reduce cardiac damage from the formation of a thrombus
Cardiac arrhythmia: Occurs within the first few days after MI. Important cause of death before
reaching the hospital and within the first 24 hours post-MI.
Nurse Carl is teaching Mr. Davis about taking lisinopril for HTN. which of the following info
should Carl include in teaching? A. "report a persistent dry cough"
rationale: AE of lisinopril
Nurse Christine is reviewing Mr. Davis' ECG strip, which was completed a t1725. which pattern
on the ECG strip is the priority finding? hotspot: B.
rationale: priority is ST-segment elevation, possibly indicating a acute coronary even which is
the greatest risk
Nurse Christine is preparing to initiate the prescriptions for Mr. Davis. Which of the following
prescriptions should she expect to initiate? (Select all that apply.): A. chest x-ray
B. troponin level
C. morphine
E. potassium and creatinine levels
, LV failure and pulmonary edema: Can occur 2° to LV infarction, VSD, free wall rupture,
papillary muscle rupture with mitral regurgitation.
Mr. Davis is reporting itching over his arms and chest. What is the most appropriate action
Nurse Carl should take?: The priority action nurse Carl should take is to check Mr. Davis's
medical record for a shell fish allergy. Nurse Carl should recognize the possibility of an allergic
reaction related to a shellfish
allergy. Record the allergy to shellfish in the medical record and notify the provider of the allergy
and Mr. Davis's report of itching. The provider can determine if Mr.
Davis is having a delayed allergic reaction to the contrast dye used during cardiac
catheterization. Nurse Carl should check the client's skin for a rash and request a
prescription for diphenhydramine IV to decrease the itching.
Nurse Carl is assessing Mr. Davis's breath sounds and suspects Mr. Davis is starting
to experience a moderate systemic reaction to the contrast dye used for the heart
catheterization. Which of the following breath sounds should the nurse expect to hear during
auscultation?: C. wheezing
Nurse Carl has listened to Mr. Davis's breath sounds and recognizes the manifestations of
Mr. Davis's condition. Nurse Carl should expect a prescription for which of the following
medications?: B. Epinephrine IV
rationale: to promote bronchodilation, vasoconstriction, and maintenance of the BP
and HR
Nurse Carl is completing a post-heart catheterization assessment of Mr. Davis. Which of
the following observations should Carl address first?: A. a developing hematoma at the puncture
site
rationale: hematoma is indication the pt is having active bleeding into groin tissue and requires
immediate action
