ATI CARDIAC CARE NURSING EXAM 2025 WITH ACCURATE
SOLUTIONS
1. What is the expected telemetry finding for a client with a demand
pacemaker set at 72/min when the heart rate exceeds this setting?
The client is experiencing hiccups
Telemetry monitoring shows pacing with no QRS complexes
Telemetry monitoring shows QRS complexes occurring at a rate
of 74 min with no pacing spikes
The client is experiencing premature ventricular complexes at 12
min
2. What does the phrase "Stand clear" indicate during a cardioversion
procedure?
A time-out is being called to verify correct protocols.
They should initiate CPR due to pulseless electrical activity.
Personnel should not be in contact with equipment connected
to the client.
The cardioverter is being charged to the appropriate setting.
3. If a patient receiving epoetin alfa develops hypertension, what should
the nurse's immediate action be?
Discontinue the epoetin alfa treatment without further assessment.
Administer an antihypertensive medication immediately.
Reassure the patient that hypertension is a normal side effect.
Assess the patient's blood pressure and notify the healthcare
provider.
,4. The nurse is monitoring a client postoperatively after a permanent
pacemaker insertion. Which finding would be most concerning to the
, nurse?
blood pressure of 160/91 mm Hg
heart rate of 48 beats/minute
urine output of 30 mL over 1 hour
reports of left chest soreness
5. If a patient with a heart rate of 46/min develops symptoms such as
dizziness and fatigue, what immediate nursing action should be taken?
Document the symptoms and check again in one hour.
Administer IV fluids to increase blood pressure.
Initiate a rapid assessment and prepare for potential pacemaker
insertion.
Encourage the patient to rest and monitor their heart rate.
6. If a nurse observes telemetry showing pacing spikes but no QRS
complexes in a patient with a demand pacemaker, what should be the
nurse's immediate action?
Assess the patient for signs of hemodynamic instability and
troubleshoot the pacemaker function.
Document the finding and continue monitoring without
intervention.
Notify the physician without assessing the patient first.
Increase the pacemaker rate to 80/min immediately.
7. Describe the significance of the command "Stand clear" in the context of
a cardioversion procedure.
It ensures the safety of personnel by preventing accidental
electrical shock from the cardioverter.
SOLUTIONS
1. What is the expected telemetry finding for a client with a demand
pacemaker set at 72/min when the heart rate exceeds this setting?
The client is experiencing hiccups
Telemetry monitoring shows pacing with no QRS complexes
Telemetry monitoring shows QRS complexes occurring at a rate
of 74 min with no pacing spikes
The client is experiencing premature ventricular complexes at 12
min
2. What does the phrase "Stand clear" indicate during a cardioversion
procedure?
A time-out is being called to verify correct protocols.
They should initiate CPR due to pulseless electrical activity.
Personnel should not be in contact with equipment connected
to the client.
The cardioverter is being charged to the appropriate setting.
3. If a patient receiving epoetin alfa develops hypertension, what should
the nurse's immediate action be?
Discontinue the epoetin alfa treatment without further assessment.
Administer an antihypertensive medication immediately.
Reassure the patient that hypertension is a normal side effect.
Assess the patient's blood pressure and notify the healthcare
provider.
,4. The nurse is monitoring a client postoperatively after a permanent
pacemaker insertion. Which finding would be most concerning to the
, nurse?
blood pressure of 160/91 mm Hg
heart rate of 48 beats/minute
urine output of 30 mL over 1 hour
reports of left chest soreness
5. If a patient with a heart rate of 46/min develops symptoms such as
dizziness and fatigue, what immediate nursing action should be taken?
Document the symptoms and check again in one hour.
Administer IV fluids to increase blood pressure.
Initiate a rapid assessment and prepare for potential pacemaker
insertion.
Encourage the patient to rest and monitor their heart rate.
6. If a nurse observes telemetry showing pacing spikes but no QRS
complexes in a patient with a demand pacemaker, what should be the
nurse's immediate action?
Assess the patient for signs of hemodynamic instability and
troubleshoot the pacemaker function.
Document the finding and continue monitoring without
intervention.
Notify the physician without assessing the patient first.
Increase the pacemaker rate to 80/min immediately.
7. Describe the significance of the command "Stand clear" in the context of
a cardioversion procedure.
It ensures the safety of personnel by preventing accidental
electrical shock from the cardioverter.
