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CARDIOVASCULAR ATI MEDICAL SURGICAL EXAM | QUESTIONS AND CORRECT DETAILED ANSWERS | GRADED A+ | VERIFIED ANSWERS | LATEST VERSION (JUST RELEASED)$22.99
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CARDIOVASCULAR ATI MEDICAL SURGICAL
EXAM | QUESTIONS AND CORRECT DETAILED
ANSWERS | GRADED A+ | VERIFIED ANSWERS |
LATEST VERSION (JUST RELEASED)
A nurse is preparing a client for coronary angiography. The nurse should
report which of the following findings to the provider prior to the procedure?
A. Hemoglobin 14.4 g/dlb. History of peripheral arterial disease.
c. Urine output 200 ml/4 hr.
D. Previous allergic reaction to shellfish ---------CORRECT ANSWER---------
--------D. Previous allergic reaction to shellfish
Rationale: The contrast medium used for coronary angiography is iodine-
based. Clients who have a history of allergic reaction to shellfish often react
to iodine and might need a steroid or antihistamine prior to the procedure.
A nurse is assessing a client who has pulmonary edema related to heart
failure. Which of the following findings indicates effective treatment of the
client's condition?
A. Absence of adventitious breath sounds
B. Presence of a nonproductive cough
C. Decrease in respiratory rate at rest
D. Sao2 86% on room air ---------CORRECT ANSWER-----------------A.
Absence of adventitious breath sounds
A nurse is providing teaching for a client who is 2 days post-op following a
heart transplant. Which of the following statements should the nurse
include in the teaching?
A. "you may no longer be able to feel chest pain."
b. "your level of activity tolerance will not change."
c. "after 6 months, you will no longer need to restrict your sodium intake."
d. "you will be able to stop taking immunosuppressants after 12 months." --
-------CORRECT ANSWER-----------------A. "you may no longer be able to
feel chest pain."
,A nurse is caring for a client who has dilated cardiomyopathy. Which of the
following findings should the nurse expect?
A. Dyspnea on exertion
B. Tracheal deviation
C. Pericardial rub
D. Weight loss ---------CORRECT ANSWER-----------------A. Dyspnea on
exertion
A nurse is caring for a client who is being treated for HF and has
prescriptions for furosemide. The nurse should plan to monitor for which of
the following as an adverse effect of this medication?
A. SOB
b. Lightheadedness
c. Dry cough
d. Metallic taste ---------CORRECT ANSWER-----------------b.
Lightheadedness
A nurse is admitting a client who has a leg ulcer and a history of DM. The
nurse should use which of the following focused assessments to help
differentiate between an arterial ulcer and a venous stasis ulcer?
A. Explore the clients family history of peripheral vascular disease
B. Note the presence or absence of pain at the ulcer site
C. Inquire about the presence or absence of claudication
D. Ask if the client has had a recent infection ---------CORRECT ANSWER--
---------------C. Inquire about the presence or absence of claudication
Rationale: Knowing if the client is experiencing claudication helps
differentiate venous from arterial ulcers. Clients who have arterial ulcers
experience claudication, but those who have venous ulcers do not.
A nurse is caring for a client in the first 8 hr following coronary artery
bypass graft (CABG) surgery. Which of the following client findings should
the nurse report to the provider?A. Mediastinal drainage 100 ml/hr
,b. Blood pressure 160/80 mm Hg
C. Temperature 37.1° C (98.8° F)
D. Potassium 4.0 meq/L ---------CORRECT ANSWER-----------------b. Blood
pressure 160/80 mm Hg
Rationale: The nurse should report an elevated blood pressure following a
CABG because increased vascular pressure can cause bleeding at the
incision sites.
A nurse is caring for a client who is scheduled for a coronary artery bypass
graft in 2 hr. Which of the following client statements indicates a need for
further clarification by the nurse?
A. "My arthritis is really bothering me because I haven't taken my aspiring
in a week."
b. "My blood pressure shouldn't be high because I took my BP medication
this morning."
c. "I took my warfarin last night according to my usually schedule."
d. "I will check my BP because I took a reduced dose of insulin this
morning." ---------CORRECT ANSWER-----------------c. "I took my warfarin
last night according to my usually schedule."
A nurse is caring for a client who presents to the ER with a BP of 254/138
mmhg. The nurse recognizes that the client is in a hypertensive crisis.
Which of the following actions should the nurse take first?
A. Initiate seizure precautions.
B. Tell the client to report vision changes
C. Elevate the head of the clients bed
D. Start a peripheral IV ---------CORRECT ANSWER-----------------C. Elevate
the head of the clients bed
A nurse in the emergency department is caring for a client who had an
anterior MI. The client's history reveals she is 1 week post-op open
cholecystectomy. The nurse should recognize that which of the following
interventions is contraindicated?
A. Administering IV morphine sulfate
, B. Administering oxygen at 2:/min via nasal cannula
C. Helping the client to the bedside commode
D. Assisting with thrombolytic therapy ---------CORRECT ANSWER-----------
------D. Assisting with thrombolytic therapy
A client who has a new diagnosis of hypertension has a prescription for an
ACE inhibitor. The nurse instructs the client about adverse effects of the
medication. The client demonstrates an understanding of the teaching by
stating that he will notify his provider if he experiences which of the
following?
A. Tendon pain
b. Persistent cough
c. Frequent urination
d. Constipation ---------CORRECT ANSWER-----------------b. Persistent
cough
A nurse is showing a client who has right-sided heart failure an illustration
of the heart. Which of the following blood vessels carry deoxygenated
blood to the right atrium
A. Right coronary artery
B. left carotid artery
C. Aorta
D. superior vena cava ---------CORRECT ANSWER-----------------D. superior
vena cava
A nurse is checking for cardiac tamponade on a client who has pericarditis.
What action should the nurse take? ---------CORRECT ANSWER--------------
---Auscultate blood pressure for pulsus paradoxus - The client who has
cardiac tamponade will have pulsus paradoxus when the systolic blood
pressure is at least 10 mm Hg higher on expiration than on inspiration. This
occurs because of the sudden decrease in cardiac output from the fluid
compressing the atria and ventricles.
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