ATI Cardiac Exam
A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the
onset of manifestations. Which of the following client statements should indicate to the nurse the
need for additional teaching? - ANS "I will take my medications at the first sign of an attack."
A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following
actions is appropriate? - ANS Evaluating the client for nausea, vomiting, and anorexia
A nurse is teaching a client who has a new prescription for simvastatin. Which of the following
instructions should the nurse include? - ANS "You should avoid grapefruit juice."
A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics
should the nurse expect? - ANS Irregular
A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from the PACU.
The nurse should recognize that the float nurse is most qualified to care for which of the following
clients? - ANS A client who is postoperative following a lobectomy and has a chest tube
A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and
shortness of breath. Which of the following assessments should indicate to the nurse that the client
may have developed atrial fibrillation? - ANS Different apical and radial pulses.
A nurse is providing teaching to a client about interventions to reduce the risk of developing
cardiovascular disease. Which of the following statements by the client should indicate to the nurse
the need for further teaching? - ANS "Increasing my intake of foods containing trans-fatty acids can
lower my risk.
A nurse assessing a client who is at risk for deep-vein thrombosis (DVT). Which of the following
findings is a manifestation of DVT? - ANS Groin tenderness
A nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and
shoulder, and shortness of breath and nausea. Which of the following actions should the nurse take?
- ANS Obtain an EKG.
, A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of
the following instructions should the nurse include in the teaching? - ANS Exercise at least three
times per week.
A nurse is reviewing the health history for a client who has angina pectoris and a prescription for
propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history
should the nurse report to the provider? - ANS The client has a history of bronchial asthma.
A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following
symptoms should the nurse expect to find in the early stage of the disease? - ANS Intermittent
claudication
A nurse is caring for a client who is receiving heparin by continuous IV infusion. Which of the
following medications should the nurse plan to administer in the event of an overdose? - ANS
Protamine
A nurse is assessing a client for pitting edema and notes an indentation of 6 mm (0.25 in) at the point
of pressure. Which of the following notations should the nurse use to document the severity of the
client's edema? - ANS 3+
A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start
taking furosemide. Which of the following instructions should the nurse include? - ANS Eat foods
that contain plenty of potassium
A nurse is assessing a client who has infective endocarditis. Which of the following findings should be
the priority for the nurse to report to the provider? - ANS Dyspnea
A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following
actions should the nurse take to determine if the client is experiencing a myocardial infarction? -
ANS Perform a 12-lead ECG
A nurse is caring for a client who has a new prescription for propranolol. The nurse should monitor
the client for which of the following adverse reactions to this medication? - ANS Postural
hypotension
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