Adult health ATI Med/Surg Cardiovascular, Respiratory, &
Hematology
ATI MED SURG RESPIRATORY Cardiovascular__Respiratory____Hematology 2023
A nurse is caring for a client who has late-stage heart failure and is experiencing fluid volume overload. Which
of the following finding should the nurse expect?
Weight gain of 1 kg (2.2 lb) in 1 day
A nurse is collecting data from a client who has an abdominal aortic aneurysm. Which of the following
manifestations should the nurse expect?
Lower Back Discomfort
A nurse is assisting in the care of a client who is in hypovolemic shock. While waiting for a unit of blood, the
nurse should plan to administer which of the following IV solutions?
0.9% sodium chloride
A nurse is contributing to the plan of care for a client who has pernicious anemia. Which of the following
interventions should the nurse recommend?
Initiate weekly injections of vitamin B12
A nurse is monitoring a client who is receiving a unit of packed red blood cells (RBCs) following surgery. The
client reports itching and has hives 30 min after the infusion begins. Which of the following actions should the
nurse take first?
Stop the infusion of blood
A nurse is caring for a client who had a myocardial infarction 5 days ago. The client has a sudden onset of
shortness of breath and begins coughing frothy, pink sputum. The nurse auscultates loud, bubbly sounds on
inspiration. Which of the following adventitious breath sounds should the nurse document?
Coarse crackles
A nurse is collecting data from a client who has fluid volume overload resulting from a cardiovascular disorder.
Which of the following manifestations should the nurse expect? (select all that apply)
Jugular vein distension Moist crackles Increased heart rate
A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should
the nurse expect?
Dependent edema
A nurse is reinforcing teaching with a client who has anemia and a new prescription for epoetin alfa. Which of
the following information should the nurse include in the teaching?
Hypertension is a common adverse effect of this medication
A nurse is evaluating a clients repeat laboratory results 4 hr after administering fresh frozen plasma (FFP).
Which of the following laboratory values should the nurse review?
Prothrombin time
, A nurse on a telemetry unit is caring for a client who has an irregular radial pulse. Which of the following ECG
abnormalities should the nurse recognize as atrial flutter:
Atrial rate of 300/min with QRS complex of 80/min
The nurse should interpret this finding as atrial flutter, which indicates a lack of conduction between the atria
and the ventricles: The additional atrial beats are not conducting.
A nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA)
with stent placement. Which of the following actions should the nurse anticipate in the post-procedure plan of
care?
Instruct the client on a long-term cardiac conditioning program.
Administer scheduled doses of acetaminophen.
Check for peak laboratory markers of myocardial damage.
Monitor for bleeding.
Bleeding is a post-procedure complication of PTCA because of the administration of heparin during the
procedure and the removal of the femoral (or brachial) sheath. Manual pressure or a closure device is used to
obtain hemostasis to the site. The client remains on bed rest until hemostasis is assured.
A nurse is assisting in the preparation of a unit of packed red blood cells (RBCs) for a client who has anemia.
Which of the following actions should the nurse take first?
Witness informed consent.
A nurse is caring for a client who has hemophilia. The client reports pain and swelling in a joint following an
injury. Which of the following actions should the nurse take?
Prepare for replacement of the missing clotting factor
A nurse is collecting data from a client who reports using fish oil as a dietary supplement. Which of the
following substances in fish oil should the nurse recognize as a health benefit to the client?
Omega-3 fatty acids
A nurse is collecting data from a client who has pericarditis. Which of the following manifestations should the
nurse expect?
Dyspnea with hiccups
A nurse is checking for cardiac tamponade on a client who has pericarditis. Which of the following actions
should the nurse take?
Auscultate blood pressure for pulses paradoxus
A nurse is reinforcing teaching about lifestyle changes with a client who had a myocardial infarction and has a
new prescription for a beta blocker. Which of the following client statements indicates an understanding of the
teaching?
"Before taking my medication, I will check my blood pressure and radial pulse rate."
Hematology
ATI MED SURG RESPIRATORY Cardiovascular__Respiratory____Hematology 2023
A nurse is caring for a client who has late-stage heart failure and is experiencing fluid volume overload. Which
of the following finding should the nurse expect?
Weight gain of 1 kg (2.2 lb) in 1 day
A nurse is collecting data from a client who has an abdominal aortic aneurysm. Which of the following
manifestations should the nurse expect?
Lower Back Discomfort
A nurse is assisting in the care of a client who is in hypovolemic shock. While waiting for a unit of blood, the
nurse should plan to administer which of the following IV solutions?
0.9% sodium chloride
A nurse is contributing to the plan of care for a client who has pernicious anemia. Which of the following
interventions should the nurse recommend?
Initiate weekly injections of vitamin B12
A nurse is monitoring a client who is receiving a unit of packed red blood cells (RBCs) following surgery. The
client reports itching and has hives 30 min after the infusion begins. Which of the following actions should the
nurse take first?
Stop the infusion of blood
A nurse is caring for a client who had a myocardial infarction 5 days ago. The client has a sudden onset of
shortness of breath and begins coughing frothy, pink sputum. The nurse auscultates loud, bubbly sounds on
inspiration. Which of the following adventitious breath sounds should the nurse document?
Coarse crackles
A nurse is collecting data from a client who has fluid volume overload resulting from a cardiovascular disorder.
Which of the following manifestations should the nurse expect? (select all that apply)
Jugular vein distension Moist crackles Increased heart rate
A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should
the nurse expect?
Dependent edema
A nurse is reinforcing teaching with a client who has anemia and a new prescription for epoetin alfa. Which of
the following information should the nurse include in the teaching?
Hypertension is a common adverse effect of this medication
A nurse is evaluating a clients repeat laboratory results 4 hr after administering fresh frozen plasma (FFP).
Which of the following laboratory values should the nurse review?
Prothrombin time
, A nurse on a telemetry unit is caring for a client who has an irregular radial pulse. Which of the following ECG
abnormalities should the nurse recognize as atrial flutter:
Atrial rate of 300/min with QRS complex of 80/min
The nurse should interpret this finding as atrial flutter, which indicates a lack of conduction between the atria
and the ventricles: The additional atrial beats are not conducting.
A nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA)
with stent placement. Which of the following actions should the nurse anticipate in the post-procedure plan of
care?
Instruct the client on a long-term cardiac conditioning program.
Administer scheduled doses of acetaminophen.
Check for peak laboratory markers of myocardial damage.
Monitor for bleeding.
Bleeding is a post-procedure complication of PTCA because of the administration of heparin during the
procedure and the removal of the femoral (or brachial) sheath. Manual pressure or a closure device is used to
obtain hemostasis to the site. The client remains on bed rest until hemostasis is assured.
A nurse is assisting in the preparation of a unit of packed red blood cells (RBCs) for a client who has anemia.
Which of the following actions should the nurse take first?
Witness informed consent.
A nurse is caring for a client who has hemophilia. The client reports pain and swelling in a joint following an
injury. Which of the following actions should the nurse take?
Prepare for replacement of the missing clotting factor
A nurse is collecting data from a client who reports using fish oil as a dietary supplement. Which of the
following substances in fish oil should the nurse recognize as a health benefit to the client?
Omega-3 fatty acids
A nurse is collecting data from a client who has pericarditis. Which of the following manifestations should the
nurse expect?
Dyspnea with hiccups
A nurse is checking for cardiac tamponade on a client who has pericarditis. Which of the following actions
should the nurse take?
Auscultate blood pressure for pulses paradoxus
A nurse is reinforcing teaching about lifestyle changes with a client who had a myocardial infarction and has a
new prescription for a beta blocker. Which of the following client statements indicates an understanding of the
teaching?
"Before taking my medication, I will check my blood pressure and radial pulse rate."
