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ATI CARDIAC QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION 2024 with complete solutions/ latest update (stuvia 5 stars rating) $7.50   Add to cart

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ATI CARDIAC QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION 2024 with complete solutions/ latest update (stuvia 5 stars rating)

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ATI CARDIAC QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION 2024 with complete solutions/ latest update (stuvia 5 stars rating)

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  • July 20, 2024
  • 27
  • 2023/2024
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‭ATI CARDIAC QUESTIONS‬
‭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?‬

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