MED SURG ATI 2 cardiac Exam Questions and
Answers 100% Pass
A nurse is assessing a client who has experienced a gunshot wound. Findings include blood pressure
108/55 mm Hg, heart rate 124/min, respiratory rate 36/min, temperature 38.6 (101.4), and a SaO2
95% on oxygen 30 minute later. Which of the following should the nurse report to the provider?
(select all that apply)
A. distended neck veins
B. tracheal deviation
C. headache
D. nausea
E. heart rate 154/min
A
B
E
a nurse is reviewing discharge instructions for a client who experienced a pneumothroax. which of the
following should be included in the teaching?
A. notify your provider if you experience weakness
B. you should be able to return to work in 1 week
C. you need to wear a mast when in crowded areas.
D. notify your provider if you experience a cough
D
this is indicative of a respiratory infection
a nurse in the emergency department is assessing a client with a suspected flail chest. which of the
following clinical findings confirm this diagnosis? (select all that apply)
A. bradycardia
B. cyanosis
C. hypotension
D. dyspnea
E. paradoxic chest movement
B
C
D
E
a nurse on a cardiac unit is caring for a group of clients. the nurse should recognize which of the
following clients as being at risk for the development of a dysrhythmia? (select all that apply)
A. a client who has metabolic alkalosis
B. a client who has a serum potassium level of 4.3
C. a client who has a SaO2 of 96%
D. a client who has COPD
E. a client who underwent stent placement in a coronary artery
A
D
E
a nurse is caring for a client who experienced defibrillation. which of the following should be included
in the documentation of this procedure?
A. follow up ECG
B. energy settings used
C. IV fluid intake
, D. urinary output
E. skin condition under electrodes
A
B
E
a nurse on a cardiac unit is caring for a client who is on telemetry. the nurse recognizes the client's
heart rate is 46/min and notifies the provider. the nurse should anticipate that which of the following
management strategies will be used for this clieint?
A. defibrillation
B. pacemaker insertion
C. synchronized cardioversion
D. administration of IV lidocaine
B
a nurse is caring for a client following a CABG. hemodynamic monitoring has been initiated. which of
the following actions by the nurse facilitate correct monitoring readings?
A. place the client in high-fowlers position
B. level transducer to phlebostatic axis
C. zero transducer to room air
D. observe trends in readings
E. compare readings to physical assessment
B
C
D
E
a nurse on a cardiac unit is reviewing the laboratory findings of a client who has a diagnosis of MI and
reports that his dyspnea began 2 weeks ago. which of the following cardiac enzymes would confirm
the infarction occured 14 days ago?
A. CK-MB
B. troponin I
C. troponin T
D. myoglobin
C
will be evident for 14-21 days
a nurse is instructing a client who has angina about a new prescription for metoprolol tartrate
(Lopressor). which of the following statements by the client indicates understanding of the teaching?
A. i should place the tablet under my tongue
B. I should have my clotting time checked weekly
C. I will report any ringing in my ears
D. i will call my doctor if my pulse rate is less than 60
D
a nurse is teaching a client who has heart failure about the need to limit sodium in the diet to 2,000
mg daily. which of the folloiwng should be consumed in limited quantities?
A. cheddar cheese
B. hot dog
C. canned tuna
D. roast chicken breast
E. baked ham
Answers 100% Pass
A nurse is assessing a client who has experienced a gunshot wound. Findings include blood pressure
108/55 mm Hg, heart rate 124/min, respiratory rate 36/min, temperature 38.6 (101.4), and a SaO2
95% on oxygen 30 minute later. Which of the following should the nurse report to the provider?
(select all that apply)
A. distended neck veins
B. tracheal deviation
C. headache
D. nausea
E. heart rate 154/min
A
B
E
a nurse is reviewing discharge instructions for a client who experienced a pneumothroax. which of the
following should be included in the teaching?
A. notify your provider if you experience weakness
B. you should be able to return to work in 1 week
C. you need to wear a mast when in crowded areas.
D. notify your provider if you experience a cough
D
this is indicative of a respiratory infection
a nurse in the emergency department is assessing a client with a suspected flail chest. which of the
following clinical findings confirm this diagnosis? (select all that apply)
A. bradycardia
B. cyanosis
C. hypotension
D. dyspnea
E. paradoxic chest movement
B
C
D
E
a nurse on a cardiac unit is caring for a group of clients. the nurse should recognize which of the
following clients as being at risk for the development of a dysrhythmia? (select all that apply)
A. a client who has metabolic alkalosis
B. a client who has a serum potassium level of 4.3
C. a client who has a SaO2 of 96%
D. a client who has COPD
E. a client who underwent stent placement in a coronary artery
A
D
E
a nurse is caring for a client who experienced defibrillation. which of the following should be included
in the documentation of this procedure?
A. follow up ECG
B. energy settings used
C. IV fluid intake
, D. urinary output
E. skin condition under electrodes
A
B
E
a nurse on a cardiac unit is caring for a client who is on telemetry. the nurse recognizes the client's
heart rate is 46/min and notifies the provider. the nurse should anticipate that which of the following
management strategies will be used for this clieint?
A. defibrillation
B. pacemaker insertion
C. synchronized cardioversion
D. administration of IV lidocaine
B
a nurse is caring for a client following a CABG. hemodynamic monitoring has been initiated. which of
the following actions by the nurse facilitate correct monitoring readings?
A. place the client in high-fowlers position
B. level transducer to phlebostatic axis
C. zero transducer to room air
D. observe trends in readings
E. compare readings to physical assessment
B
C
D
E
a nurse on a cardiac unit is reviewing the laboratory findings of a client who has a diagnosis of MI and
reports that his dyspnea began 2 weeks ago. which of the following cardiac enzymes would confirm
the infarction occured 14 days ago?
A. CK-MB
B. troponin I
C. troponin T
D. myoglobin
C
will be evident for 14-21 days
a nurse is instructing a client who has angina about a new prescription for metoprolol tartrate
(Lopressor). which of the following statements by the client indicates understanding of the teaching?
A. i should place the tablet under my tongue
B. I should have my clotting time checked weekly
C. I will report any ringing in my ears
D. i will call my doctor if my pulse rate is less than 60
D
a nurse is teaching a client who has heart failure about the need to limit sodium in the diet to 2,000
mg daily. which of the folloiwng should be consumed in limited quantities?
A. cheddar cheese
B. hot dog
C. canned tuna
D. roast chicken breast
E. baked ham
