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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