ATI CARDIAC EXAM Questions and
answers 2025
You .are .reviewing .the .chart .of .a .PT .who .is .receiving .heparin .therapy .for .a .DVT.
.Which .intervention .should .the .RN .anticipate .taking .if .the .PTs .aPTT .is .96
.seconds?
1. .Increase .heparin .infusion .rate .by .2mL/hr
2. .Continue .monitor .the .heparin .infusion .as .prescribed
3. .Request .a .prothrombin .time .PT
4. .Stop .the .heparin .infusion .- .CORRECT .ANSWER-4. .Stop .the .heparin .infusion-
.pt .is .above .the .therapeutic .range .of .1-5-2 .times .the .control. .should .discontinue
.to .prevent .harm
You .are .providing .teaching .to .a .PT .who .is .2 .days .post .op .following .a .heart
.transplant. .Which .following .statements .should .the .nurse .include .in .the
.teaching?
1. .You .may .no .longer .be .able .to .feel .chest .pain
2. .Your .level .of .activity .intolerance .will .not .change
3. .after .6 .months .you .will .no .longer .need .to .restrict .you .Na
4. .You .will .be .able .to .stop .taking .immunosuppressants .after .12 .months .-
.CORRECT .ANSWER-1. .You .may .no .longer .be .able .to .feel .chest .pain-
.transplant .PTs .no .longer .feel .chest .pain .due .to .denervation .of .the .heart
ER .nurse .is .assessing .PT .with .bradydysrhythmia. .Which .finding .should .he
.expect?
1. .Confusion
2. .Friction .Rub
3. .HTN
4. .Dry .skin .- .CORRECT .ANSWER-1. .Confusion- .as .a .result .of .decreased .tissue
.perfusion
You .are .caring .for .a .PT .who .had .an .anterior .MI. .PTs .hx .shows .she .is .1 .wk .post
.op .open .cholecystectomy .the .RN .knows .that .which .intervention .is
.contraindicated?
,1. .Administering .IV .morphine
2. .giving .O2 .at .2L .NC
3. .Helping .client .to .BSC
4. .Assisting .in .thrombolytic .therapy .- .CORRECT .ANSWER-4. .Assisting .in
.thrombolytic .therapy- .having .surgery .within .3 .wks .is .a .contraindication .for
.thrombolytic .therapy
You .are .caring .for .a .PT .who .has .endocarditis. .Which .finding .should .you
.recognize .as .a .complication?
1. .Ventricular .depolarization
2. .Guillain .Barre .Syndrome
3. .Myelodysplastic .syndrome
4. .Valvular .disease .- .CORRECT .ANSWER-4. .Valvular .disease- .damage .will .occur
.as .a .result .of .inflammation .or .infection .of .the .endocardium
You .are .caring .for .PT .with .BP .of .254/139, .you .recognize .the .PT .is .in .a
.hypertensive .crisis. .Which .action .should .you .take .first?
1. .Obtain .blood .samples .for .testing
2. .Tell .the .PT .to .report .vision .changes
3. .Place .HOB .at .45 .degrees
4. .Initiate .IV .access .- .CORRECT .ANSWER-3. .Place .HOB .at .45 .degrees-ABC's
.this .will .promote .respiratory .status .and .promote .venous .return .reducing
.workload .on .heart
**Initiate .IV .access- .not .first .action
When .performing .a .cardiac .assessment .what .is .the .point .of .maximal .impulse?
1. .2nd .intercostal .space .right .to .the .sternum
2. .2nd .intercostal .space .left .to .the .sternum
3. .5th .intercostal .space .to .the .left .of .thermal .border
4. .Left .5th .intercostal .space .in .the .midclavicular .line .- .CORRECT .ANSWER-4.
.Left .5th .intercostal .space .in .the .midclavicular .line-this .is .best .to .hear .the .apex
.of .the .heart .which .is .considered .maximal .impulse
You .are .caring .for .a .PT .who .is .experiencing .Afib. .You .should .report .what
.finding .to .the .provider?
1. .Slurred .speech
2. .Irregular .pulse
3. .Dependent .edema
4. .Persistant .fatigue .- .CORRECT .ANSWER-1. .Slurred .speech- .greatest .risk .is .an
.embolus .and .this .can .indicate .embolus
, You .are .assessing .a .PT .with .Left .sided .heart .failure. .What .manifestation .should
.you .expect .to .find?
1. .Increased .abdominal .girth
2. .Weak .peripheral .pulses
3. .Jugular .venous .neck .distention
4. .Dependent .edema .- .CORRECT .ANSWER-2. .Weak .peripheral .pulses- .r/t
.decreased .CO .from .LSHF
You .are .caring .for .a .PT .who .is .being .treated .for .HF .and .has .prescriptions .for
.digoxin .and .furosemide. .You .plan .to .monitor .for .which .of .the .following .as .an
.adverse .effect .of .these .meds?
1. .SOB
2. .Lightheadedness
3. .Dry .cough
4. .Metallic .taste .- .CORRECT .ANSWER-2. .Lightheadedness- .can .cause .a .sudden
.drop .in .BP= .lightheadedness
You .are .monitoring .a .PT .following .coronary .bypass .graft .surgery .(CABG).
.Which .finding .indicates .cardiac .tamponade?
1. .Sternal .instability
2. .Increased .WBC .count
3. .BP .of .140/82 .on .inspiration .and .154/90 .on .expiration
4. .Sinus .rhythm .with .occasional .premature .atrial .contractions .and .HR .88 .-
.CORRECT .ANSWER-3. .BP .of .140/82 .on .inspiration .and .154/90 .on .expiration=
.pulses .paradoxus
What .is .Pulsus .Paradoxus? .- .CORRECT .ANSWER-When .the .systolic .BP .is .10
.points .higher .on .expiration .than .on .inspiration
**This .is .indicative .of .cardiac .tamponade
You .are .preparing .PT .for .coronary .angiography. .You .should .report .what .finding
.to .the .provider .prior .to .procedure?
1. .Hgb .14.4
2. .HX: .PAD .peripheral .arterial .disease
3. .UOP .of .200ml .in .4 .hr
4. .Previous .allergic .reaction .to .shell .fish .- .CORRECT .ANSWER-4. .Previous
.allergic .reaction .to .shell .fish- .shellfish .reaction .will .often .react .to .iodine
You .are .caring .for .a .PT .following .insertion .of .a .permanent .pacemaker. .Which
.PT .statement .indicates .a .potential .complication .of .the .insertion .procedure?
answers 2025
You .are .reviewing .the .chart .of .a .PT .who .is .receiving .heparin .therapy .for .a .DVT.
.Which .intervention .should .the .RN .anticipate .taking .if .the .PTs .aPTT .is .96
.seconds?
1. .Increase .heparin .infusion .rate .by .2mL/hr
2. .Continue .monitor .the .heparin .infusion .as .prescribed
3. .Request .a .prothrombin .time .PT
4. .Stop .the .heparin .infusion .- .CORRECT .ANSWER-4. .Stop .the .heparin .infusion-
.pt .is .above .the .therapeutic .range .of .1-5-2 .times .the .control. .should .discontinue
.to .prevent .harm
You .are .providing .teaching .to .a .PT .who .is .2 .days .post .op .following .a .heart
.transplant. .Which .following .statements .should .the .nurse .include .in .the
.teaching?
1. .You .may .no .longer .be .able .to .feel .chest .pain
2. .Your .level .of .activity .intolerance .will .not .change
3. .after .6 .months .you .will .no .longer .need .to .restrict .you .Na
4. .You .will .be .able .to .stop .taking .immunosuppressants .after .12 .months .-
.CORRECT .ANSWER-1. .You .may .no .longer .be .able .to .feel .chest .pain-
.transplant .PTs .no .longer .feel .chest .pain .due .to .denervation .of .the .heart
ER .nurse .is .assessing .PT .with .bradydysrhythmia. .Which .finding .should .he
.expect?
1. .Confusion
2. .Friction .Rub
3. .HTN
4. .Dry .skin .- .CORRECT .ANSWER-1. .Confusion- .as .a .result .of .decreased .tissue
.perfusion
You .are .caring .for .a .PT .who .had .an .anterior .MI. .PTs .hx .shows .she .is .1 .wk .post
.op .open .cholecystectomy .the .RN .knows .that .which .intervention .is
.contraindicated?
,1. .Administering .IV .morphine
2. .giving .O2 .at .2L .NC
3. .Helping .client .to .BSC
4. .Assisting .in .thrombolytic .therapy .- .CORRECT .ANSWER-4. .Assisting .in
.thrombolytic .therapy- .having .surgery .within .3 .wks .is .a .contraindication .for
.thrombolytic .therapy
You .are .caring .for .a .PT .who .has .endocarditis. .Which .finding .should .you
.recognize .as .a .complication?
1. .Ventricular .depolarization
2. .Guillain .Barre .Syndrome
3. .Myelodysplastic .syndrome
4. .Valvular .disease .- .CORRECT .ANSWER-4. .Valvular .disease- .damage .will .occur
.as .a .result .of .inflammation .or .infection .of .the .endocardium
You .are .caring .for .PT .with .BP .of .254/139, .you .recognize .the .PT .is .in .a
.hypertensive .crisis. .Which .action .should .you .take .first?
1. .Obtain .blood .samples .for .testing
2. .Tell .the .PT .to .report .vision .changes
3. .Place .HOB .at .45 .degrees
4. .Initiate .IV .access .- .CORRECT .ANSWER-3. .Place .HOB .at .45 .degrees-ABC's
.this .will .promote .respiratory .status .and .promote .venous .return .reducing
.workload .on .heart
**Initiate .IV .access- .not .first .action
When .performing .a .cardiac .assessment .what .is .the .point .of .maximal .impulse?
1. .2nd .intercostal .space .right .to .the .sternum
2. .2nd .intercostal .space .left .to .the .sternum
3. .5th .intercostal .space .to .the .left .of .thermal .border
4. .Left .5th .intercostal .space .in .the .midclavicular .line .- .CORRECT .ANSWER-4.
.Left .5th .intercostal .space .in .the .midclavicular .line-this .is .best .to .hear .the .apex
.of .the .heart .which .is .considered .maximal .impulse
You .are .caring .for .a .PT .who .is .experiencing .Afib. .You .should .report .what
.finding .to .the .provider?
1. .Slurred .speech
2. .Irregular .pulse
3. .Dependent .edema
4. .Persistant .fatigue .- .CORRECT .ANSWER-1. .Slurred .speech- .greatest .risk .is .an
.embolus .and .this .can .indicate .embolus
, You .are .assessing .a .PT .with .Left .sided .heart .failure. .What .manifestation .should
.you .expect .to .find?
1. .Increased .abdominal .girth
2. .Weak .peripheral .pulses
3. .Jugular .venous .neck .distention
4. .Dependent .edema .- .CORRECT .ANSWER-2. .Weak .peripheral .pulses- .r/t
.decreased .CO .from .LSHF
You .are .caring .for .a .PT .who .is .being .treated .for .HF .and .has .prescriptions .for
.digoxin .and .furosemide. .You .plan .to .monitor .for .which .of .the .following .as .an
.adverse .effect .of .these .meds?
1. .SOB
2. .Lightheadedness
3. .Dry .cough
4. .Metallic .taste .- .CORRECT .ANSWER-2. .Lightheadedness- .can .cause .a .sudden
.drop .in .BP= .lightheadedness
You .are .monitoring .a .PT .following .coronary .bypass .graft .surgery .(CABG).
.Which .finding .indicates .cardiac .tamponade?
1. .Sternal .instability
2. .Increased .WBC .count
3. .BP .of .140/82 .on .inspiration .and .154/90 .on .expiration
4. .Sinus .rhythm .with .occasional .premature .atrial .contractions .and .HR .88 .-
.CORRECT .ANSWER-3. .BP .of .140/82 .on .inspiration .and .154/90 .on .expiration=
.pulses .paradoxus
What .is .Pulsus .Paradoxus? .- .CORRECT .ANSWER-When .the .systolic .BP .is .10
.points .higher .on .expiration .than .on .inspiration
**This .is .indicative .of .cardiac .tamponade
You .are .preparing .PT .for .coronary .angiography. .You .should .report .what .finding
.to .the .provider .prior .to .procedure?
1. .Hgb .14.4
2. .HX: .PAD .peripheral .arterial .disease
3. .UOP .of .200ml .in .4 .hr
4. .Previous .allergic .reaction .to .shell .fish .- .CORRECT .ANSWER-4. .Previous
.allergic .reaction .to .shell .fish- .shellfish .reaction .will .often .react .to .iodine
You .are .caring .for .a .PT .following .insertion .of .a .permanent .pacemaker. .Which
.PT .statement .indicates .a .potential .complication .of .the .insertion .procedure?
