ATI TEST BANK CARDIAC,RESPIRATORY, BLOOD
PRACTICE QUESTIONS AND ANSWERS 2024
• A nurse is caring for a client who has heart failure and a prescription for
digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many
tablets should the nurse administer per dose? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
_0.5_ tablet(s)
• A nurse is assessing a client who has fluid overload. Which of the following
findings should the nurse expect? (Select all that apply.)
• Increased heart rate
• Increased blood pressure
• Increased respiratory rate
• Increase hematocrit
• Increased temperature
• A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which
of the following abnormalities on the client's EKG should the nurse interpret as a
sign of hypokalemia?
• Abnormally prominent U wave
• Elevated ST segment
• Wide QRS
• Inverted P wave
• A client who has a history of myocardial infarction (MI) is prescribed aspirin
325 mg. The nurse recognizes that the aspirin is given due to which of the
following actions of the medication?
• analgesic
• anti-inflammatory
• antiplatelet aggregate
• antipyretic
• While performing an admission assessment for a client, the nurse notes that
the client has varicose veins with ulcerations and lower extremity edema with a
report of a feeling of heaviness. Which of the following nursing diagnoses
should the nurse identify as being the priority in the client's care?
• Impaired tissue perfusion
• Alteration in body image
• Alteration in activity tolerance
• Impaired skin integrity
,• A nurse is assessing a client who is receiving one unit of packed RBCs to treat
intraoperative blood loss. The client reports chills and back pain, and the client's
blood pressure is 80/64 mm Hg. Which of the following actions should the nurse
take first?
• Stop the infusion of blood.
• Inform the provider.
• Obtain a urine specimen.
• Notify the laboratory.
• A nurse is teaching the partner of a client who had an acute myocardial
infarction (MI) about the reason blood was drawn from the client. Which of the
following statements should the nurse make regarding cardiac enzymes studies?
• "These tests help determine the degree of damage to the heart tissues."
• "Cardiac enzymes will identify the location of the MI."
• "These tests will enable the provider to determine the heart structure
and mobility of the heart valves."
• "Cardiac enzymes assist in diagnosing the presence of pulmonary
congestion."
• A nurse is caring for a client who was admitted with bleeding esophageal varices
and has an esophagogastric balloon tamponade with a Sengstaken-Blakemore tube
to control the bleeding. Which of the following actions should the nurse take?
• Ambulate the client four times per day.
• Encourage the client to consume clear liquids.
• Provide frequent oral and nares care.
• Keep the client in a supine position.
• A nurse is teaching about risk factors of developing a stroke with a group
of older adult clients. Which of the following nonmodifiable risk factors
should the nurse include in the teaching?
• History of smoking
• Obesity
• History of hypertension
• Race
• A nurse is caring for a client who is postoperative and is at risk for developing
venous thromboembolism (VTE). The nurse should instruct the client to avoid
which of the following unsafe actions?
• Elevating her feet
• Massaging her legs
, • Flexing her ankles
• Ambulating soon after surgery
• A nurse is auscultating a client's heart sounds and hears an extra heart sound
before what should be considered the first heart sound S1. The nurse should
document this finding as which of the following heart sounds?
• The fourth heart sound (S4)
• A friction rub
• The third heart sound (S3)
• A split second heart sound S2
• A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr
postoperative. Which of the following surgical procedures places the client at risk
for deep-vein thrombosis?
• Myringotomy
• Laparoscopic appendectomy
• Hip arthroplasty
• Cataract extraction
• A nurse is caring for a client who is receiving a unit of packed red blood cells.
Fifteen minutes following the start of the transfusion, the nurse notes that the
client is febrile, with chills and red-tinged urine. Which of the following transfusion
reactions should the nurse suspect?
• Febrile
• Allergic
• Acute pain
• Hemolytic
• A nurse is assessing a client who had left femoral cardiac angiography. Identify
where the nurse will palpate to assess the most distal pulse on the affected side.
(Check areas, or "Hot Spots," as outlined in the artwork below. Select only the
outlined area that corresponds to your answer.)
, • A nurse is caring for a client who has bleeding esophageal varices and is being
treated with a Sengstaken-Blakemore tube. Which of the following actions should
the nurse perform?
• Deflate the balloons for 5 min every 2 hr to prevent tissue necrosis.
• Maintain constant observation while the balloons are inflated.
• Suction the tube every 2 hr and as needed to maintain patency.
• Keep the head of the bed flat at all times to prevent the development of
shock.
• A nurse is caring for a client who has pericarditis and reports feeling a new
onset of palpitations and shortness of breath. Which of the following assessments
should indicate to the nurse that the client may have developed atrial fibrillation?
• Different blood pressures in the upper limbs.
• Different apical and radial pulses.
• Differences between oral and axillary temperatures.
• Differences in upper and lower lung sounds.
PRACTICE QUESTIONS AND ANSWERS 2024
• A nurse is caring for a client who has heart failure and a prescription for
digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many
tablets should the nurse administer per dose? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
_0.5_ tablet(s)
• A nurse is assessing a client who has fluid overload. Which of the following
findings should the nurse expect? (Select all that apply.)
• Increased heart rate
• Increased blood pressure
• Increased respiratory rate
• Increase hematocrit
• Increased temperature
• A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which
of the following abnormalities on the client's EKG should the nurse interpret as a
sign of hypokalemia?
• Abnormally prominent U wave
• Elevated ST segment
• Wide QRS
• Inverted P wave
• A client who has a history of myocardial infarction (MI) is prescribed aspirin
325 mg. The nurse recognizes that the aspirin is given due to which of the
following actions of the medication?
• analgesic
• anti-inflammatory
• antiplatelet aggregate
• antipyretic
• While performing an admission assessment for a client, the nurse notes that
the client has varicose veins with ulcerations and lower extremity edema with a
report of a feeling of heaviness. Which of the following nursing diagnoses
should the nurse identify as being the priority in the client's care?
• Impaired tissue perfusion
• Alteration in body image
• Alteration in activity tolerance
• Impaired skin integrity
,• A nurse is assessing a client who is receiving one unit of packed RBCs to treat
intraoperative blood loss. The client reports chills and back pain, and the client's
blood pressure is 80/64 mm Hg. Which of the following actions should the nurse
take first?
• Stop the infusion of blood.
• Inform the provider.
• Obtain a urine specimen.
• Notify the laboratory.
• A nurse is teaching the partner of a client who had an acute myocardial
infarction (MI) about the reason blood was drawn from the client. Which of the
following statements should the nurse make regarding cardiac enzymes studies?
• "These tests help determine the degree of damage to the heart tissues."
• "Cardiac enzymes will identify the location of the MI."
• "These tests will enable the provider to determine the heart structure
and mobility of the heart valves."
• "Cardiac enzymes assist in diagnosing the presence of pulmonary
congestion."
• A nurse is caring for a client who was admitted with bleeding esophageal varices
and has an esophagogastric balloon tamponade with a Sengstaken-Blakemore tube
to control the bleeding. Which of the following actions should the nurse take?
• Ambulate the client four times per day.
• Encourage the client to consume clear liquids.
• Provide frequent oral and nares care.
• Keep the client in a supine position.
• A nurse is teaching about risk factors of developing a stroke with a group
of older adult clients. Which of the following nonmodifiable risk factors
should the nurse include in the teaching?
• History of smoking
• Obesity
• History of hypertension
• Race
• A nurse is caring for a client who is postoperative and is at risk for developing
venous thromboembolism (VTE). The nurse should instruct the client to avoid
which of the following unsafe actions?
• Elevating her feet
• Massaging her legs
, • Flexing her ankles
• Ambulating soon after surgery
• A nurse is auscultating a client's heart sounds and hears an extra heart sound
before what should be considered the first heart sound S1. The nurse should
document this finding as which of the following heart sounds?
• The fourth heart sound (S4)
• A friction rub
• The third heart sound (S3)
• A split second heart sound S2
• A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr
postoperative. Which of the following surgical procedures places the client at risk
for deep-vein thrombosis?
• Myringotomy
• Laparoscopic appendectomy
• Hip arthroplasty
• Cataract extraction
• A nurse is caring for a client who is receiving a unit of packed red blood cells.
Fifteen minutes following the start of the transfusion, the nurse notes that the
client is febrile, with chills and red-tinged urine. Which of the following transfusion
reactions should the nurse suspect?
• Febrile
• Allergic
• Acute pain
• Hemolytic
• A nurse is assessing a client who had left femoral cardiac angiography. Identify
where the nurse will palpate to assess the most distal pulse on the affected side.
(Check areas, or "Hot Spots," as outlined in the artwork below. Select only the
outlined area that corresponds to your answer.)
, • A nurse is caring for a client who has bleeding esophageal varices and is being
treated with a Sengstaken-Blakemore tube. Which of the following actions should
the nurse perform?
• Deflate the balloons for 5 min every 2 hr to prevent tissue necrosis.
• Maintain constant observation while the balloons are inflated.
• Suction the tube every 2 hr and as needed to maintain patency.
• Keep the head of the bed flat at all times to prevent the development of
shock.
• A nurse is caring for a client who has pericarditis and reports feeling a new
onset of palpitations and shortness of breath. Which of the following assessments
should indicate to the nurse that the client may have developed atrial fibrillation?
• Different blood pressures in the upper limbs.
• Different apical and radial pulses.
• Differences between oral and axillary temperatures.
• Differences in upper and lower lung sounds.
