MEDSURG CARDIAC ATI EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED/DETAILED BEST
GRADED TO SCORE A+ FOR PASS
A patient who has chest pain is admitted to the emergency department (ED) and all of the
following are ordered. Which one should the nurse arrange to be completed first?
a. Chest x-ray
b. Troponin level
c. Electrocardiogram (ECG)
d. Insertion of a peripheral IV - CORRECT ANSWERS C
The priority for the patient is to determine whether an acute myocardial infarction (AMI) is
occurring so that reperfusion therapy can begin as quickly as possible. ECG changes occur very
rapidly after coronary artery occlusion, and an ECG should be obtained as soon as possible.
Troponin levels will increase after about 3 hours. Data from the chest x-ray may impact the
patient's care but are not helpful in determining whether the patient is experiencing a
myocardial infarction (MI). Peripheral access will be needed but not before the ECG.
DIF: Cognitive Level: Apply (application) REF: 749
OBJ: Special Questions: Prioritization TOP: Nursing Process: Implementation
MSC:
Physiological Integrity
38. After receiving change-of-shift report about the following four patients, which patient
should the nurse assess first?
a. 39-year-old with pericarditis who is complaining of sharp, stabbing chest pain
b. 56-year-old with variant angina who is to receive a dose of nifedipine (Procardia)
c. 65-year-old who had a myocardial infarction (MI) 4 days ago and is anxious about the
planned discharge
d. 59-year-old with unstable angina who has just returned to the unit after having a
percutaneous coronary intervention (PCI) - CORRECT ANSWERS D
,MEDSURG CARDIAC ATI EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED/DETAILED BEST
GRADED TO SCORE A+ FOR PASS
This patient is at risk for bleeding from the arterial access site for the PCI, so the nurse should
assess the patient's blood pressure, pulse, and the access site immediately. The other patients
should also be assessed as quickly as possible, but assessment of this patient has the highest
priority.
DIF: Cognitive Level: Analyze (analysis) REF: 751
OBJ: Special Questions: Prioritization; Multiple Patients
TOP: Nursing Process: Assessment MSC:
Physiological Integrity
39. To improve the physical activity level for a mildly obese 71-year-old patient, which action
should the nurse plan to take?
a. Stress that weight loss is a major benefit of increased exercise.
b. Determine what kind of physical activities the patient usually enjoys.
c. Tell the patient that older adults should exercise for no more than 20 minutes at a time.
d. Teach the patient to include a short warm-up period at the beginning of physical activity. -
CORRECT ANSWERS B
Because patients are more likely to continue physical activities that they already enjoy, the
nurse will plan to ask the patient about preferred activities. The goal for older adults is 30
minutes of moderate activity on most days. Older adults should plan for a longer warm-up
period. Benefits of exercises, such as improved activity tolerance, should be emphasized rather
than aiming for significant weight loss in older mildly obese adults.
DIF: Cognitive Level: Apply (application) REF: 761
TOP: Nursing Process: Planning MSC:
,MEDSURG CARDIAC ATI EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED/DETAILED BEST
GRADED TO SCORE A+ FOR PASS
Physiological Integrity
40. Which patient at the cardiovascular clinic requires the most immediate action by the
nurse?
a. Patient with type 2 diabetes whose current blood glucose level is 145 mg/dL
b. Patient with stable angina whose chest pain has recently increased in frequency
c. Patient with familial hypercholesterolemia and a total cholesterol of 465 mg/dL
d. Patient with chronic hypertension whose blood pressure today is 172/98 mm Hg -
CORRECT ANSWERS B
The history of more frequent chest pain suggests that the patient may have unstable angina,
which is part of the acute coronary syndrome spectrum. This will require rapid implementation
of actions such as cardiac catheterization and possible percutaneous coronary intervention. The
data about the other patients suggest that their conditions are stable.
DIF: Cognitive Level: Analyze (analysis) REF: 743
OBJ: Special Questions: Prioritization; Multiple Patients TOP: Nursing Process: Planning
MSC:
Safe and Effective Care Environment
41. A patient with diabetes mellitus and chronic stable angina has a new order for captopril
(Capoten). The nurse should teach the patient that the primary purpose of captopril is to
a. lower heart rate.
b. control blood glucose levels.
c. prevent changes in heart muscle.
d. reduce the frequency of chest pain. - CORRECT ANSWERS C
, MEDSURG CARDIAC ATI EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED/DETAILED BEST
GRADED TO SCORE A+ FOR PASS
The purpose for angiotensin-converting enzyme (ACE) inhibitors in patients with chronic stable
angina who are at high risk for a cardiac event is to decrease ventricular remodeling. ACE
inhibitors do not directly impact angina frequency, blood glucose, or heart rate.
DIF: Cognitive Level: Apply (application) REF: 745
TOP: Nursing Process: Planning MSC:
Physiological Integrity
42. After reviewing information shown in the accompanying figure from the medical records of
a 43-year-old, which risk factor modification for coronary artery disease should the nurse
include in patient teaching?
a. Importance of daily physical activity
b. Effect of weight loss on blood pressure
c. Dietary changes to improve lipid levels
d. Ongoing cardiac risk associated with history of tobacco use - CORRECT ANSWERS C
The patient has an elevated low-density lipoprotein (LDL) cholesterol and low high-density
lipoprotein (HDL) cholesterol, which will increase the risk of coronary artery disease. Although
the blood pressure is in the prehypertensive range, the patient's waist circumference and body
mass index (BMI) indicate an appropriate body weight. The risk for coronary artery disease a
year after quitting smoking is the same as a nonsmoker. The patient's occupation indicates that
daily activity is at the levels suggested by national guidelines.
DIF: Cognitive Level: Analyze (analysis) REF: 737
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED/DETAILED BEST
GRADED TO SCORE A+ FOR PASS
A patient who has chest pain is admitted to the emergency department (ED) and all of the
following are ordered. Which one should the nurse arrange to be completed first?
a. Chest x-ray
b. Troponin level
c. Electrocardiogram (ECG)
d. Insertion of a peripheral IV - CORRECT ANSWERS C
The priority for the patient is to determine whether an acute myocardial infarction (AMI) is
occurring so that reperfusion therapy can begin as quickly as possible. ECG changes occur very
rapidly after coronary artery occlusion, and an ECG should be obtained as soon as possible.
Troponin levels will increase after about 3 hours. Data from the chest x-ray may impact the
patient's care but are not helpful in determining whether the patient is experiencing a
myocardial infarction (MI). Peripheral access will be needed but not before the ECG.
DIF: Cognitive Level: Apply (application) REF: 749
OBJ: Special Questions: Prioritization TOP: Nursing Process: Implementation
MSC:
Physiological Integrity
38. After receiving change-of-shift report about the following four patients, which patient
should the nurse assess first?
a. 39-year-old with pericarditis who is complaining of sharp, stabbing chest pain
b. 56-year-old with variant angina who is to receive a dose of nifedipine (Procardia)
c. 65-year-old who had a myocardial infarction (MI) 4 days ago and is anxious about the
planned discharge
d. 59-year-old with unstable angina who has just returned to the unit after having a
percutaneous coronary intervention (PCI) - CORRECT ANSWERS D
,MEDSURG CARDIAC ATI EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED/DETAILED BEST
GRADED TO SCORE A+ FOR PASS
This patient is at risk for bleeding from the arterial access site for the PCI, so the nurse should
assess the patient's blood pressure, pulse, and the access site immediately. The other patients
should also be assessed as quickly as possible, but assessment of this patient has the highest
priority.
DIF: Cognitive Level: Analyze (analysis) REF: 751
OBJ: Special Questions: Prioritization; Multiple Patients
TOP: Nursing Process: Assessment MSC:
Physiological Integrity
39. To improve the physical activity level for a mildly obese 71-year-old patient, which action
should the nurse plan to take?
a. Stress that weight loss is a major benefit of increased exercise.
b. Determine what kind of physical activities the patient usually enjoys.
c. Tell the patient that older adults should exercise for no more than 20 minutes at a time.
d. Teach the patient to include a short warm-up period at the beginning of physical activity. -
CORRECT ANSWERS B
Because patients are more likely to continue physical activities that they already enjoy, the
nurse will plan to ask the patient about preferred activities. The goal for older adults is 30
minutes of moderate activity on most days. Older adults should plan for a longer warm-up
period. Benefits of exercises, such as improved activity tolerance, should be emphasized rather
than aiming for significant weight loss in older mildly obese adults.
DIF: Cognitive Level: Apply (application) REF: 761
TOP: Nursing Process: Planning MSC:
,MEDSURG CARDIAC ATI EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED/DETAILED BEST
GRADED TO SCORE A+ FOR PASS
Physiological Integrity
40. Which patient at the cardiovascular clinic requires the most immediate action by the
nurse?
a. Patient with type 2 diabetes whose current blood glucose level is 145 mg/dL
b. Patient with stable angina whose chest pain has recently increased in frequency
c. Patient with familial hypercholesterolemia and a total cholesterol of 465 mg/dL
d. Patient with chronic hypertension whose blood pressure today is 172/98 mm Hg -
CORRECT ANSWERS B
The history of more frequent chest pain suggests that the patient may have unstable angina,
which is part of the acute coronary syndrome spectrum. This will require rapid implementation
of actions such as cardiac catheterization and possible percutaneous coronary intervention. The
data about the other patients suggest that their conditions are stable.
DIF: Cognitive Level: Analyze (analysis) REF: 743
OBJ: Special Questions: Prioritization; Multiple Patients TOP: Nursing Process: Planning
MSC:
Safe and Effective Care Environment
41. A patient with diabetes mellitus and chronic stable angina has a new order for captopril
(Capoten). The nurse should teach the patient that the primary purpose of captopril is to
a. lower heart rate.
b. control blood glucose levels.
c. prevent changes in heart muscle.
d. reduce the frequency of chest pain. - CORRECT ANSWERS C
, MEDSURG CARDIAC ATI EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT VERIFIED/DETAILED BEST
GRADED TO SCORE A+ FOR PASS
The purpose for angiotensin-converting enzyme (ACE) inhibitors in patients with chronic stable
angina who are at high risk for a cardiac event is to decrease ventricular remodeling. ACE
inhibitors do not directly impact angina frequency, blood glucose, or heart rate.
DIF: Cognitive Level: Apply (application) REF: 745
TOP: Nursing Process: Planning MSC:
Physiological Integrity
42. After reviewing information shown in the accompanying figure from the medical records of
a 43-year-old, which risk factor modification for coronary artery disease should the nurse
include in patient teaching?
a. Importance of daily physical activity
b. Effect of weight loss on blood pressure
c. Dietary changes to improve lipid levels
d. Ongoing cardiac risk associated with history of tobacco use - CORRECT ANSWERS C
The patient has an elevated low-density lipoprotein (LDL) cholesterol and low high-density
lipoprotein (HDL) cholesterol, which will increase the risk of coronary artery disease. Although
the blood pressure is in the prehypertensive range, the patient's waist circumference and body
mass index (BMI) indicate an appropriate body weight. The risk for coronary artery disease a
year after quitting smoking is the same as a nonsmoker. The patient's occupation indicates that
daily activity is at the levels suggested by national guidelines.
DIF: Cognitive Level: Analyze (analysis) REF: 737
