NSG 4520 EXAM 3: Perfusion &
Protection ATI Quiz
A nurse in a provider's office is assessing a client who reports dyspnea and
fatigue. Physical assessment reveals tachycardia and weak peripheral pulses.
The nurse should recognize these findings as manifestations of which of the
following conditions?
A) Asthma
B) Aortic valve regurgitation
C) Heart failure
D) Aortic stenosis - correct answer-C) Heart failure
A nurse is admitting a client who has acute heart failure following myocardial
infarction (MI). The nurse recognizes that which of the following prescriptions
by the provider requires clarification?
A) Morphine sulfate 2 mg IV bolus every 2 hr PRN pain
B) Laboratory testing of serum potassium upon admission
C) 0.9% normal saline IV at 50 mL/hr continuous
D) Bumetanide 1 mg IV bolus every 12 hr - correct answer-C) 0.9% normal
saline IV at 50 mL/hr continuous
A nurse in a cardiac care unit is caring for a client with acute right-sided heart
failure. Which of the following findings should the nurse expect?
A) Decreased brain natriuretic peptide (BNP)
B) Elevated central venous pressure (CVP)
C) Increased pulmonary artery wedge pressure (PAWP)
D) Decreased specific gravity - correct answer-B) Elevated central venous
pressure (CVP)
A nurse is providing discharge instructions for a client who has congestive
heart failure. Which of the following client statements indicates to the nurse
that the teaching was effective?
A) "I will read food labels and limit my sodium to 4 grams per day."
B) "I should use naproxen to manage discomfort."
, C) "I plan to slow down if I am tired the day after exercising."
D) "I will take my diuretic before sleep and drink fluids during the day." -
correct answer-C) "I plan to slow down if I am tired the day after exercising."
A nurse is teaching the partner of a client who has an acute myocardial
infarction (MI) about the reason blood was drawn from the client. Which of the
following statements should the nurse make regarding cardiac enzymes
studies?
A) "These tests help determine the degree of damage to the heart tissues."
B) "Cardiac enzymes will identify the location of the MI."
C) "These tests will enable the provider to determine the heart structure and
mobility of the heart valves."
D) "Cardiac enzymes assist in diagnosing the presence of pulmonary
congestion." - correct answer-A) "These tests help determine the degree of
damage to the heart tissues."
A nurse is assessing a client who is to have IV urography. Which of the
following data should indicate to the nurse that this procedure is
contraindicated for this client?
A) Presence of a metal rod in her tibia
B) Allergy to shellfish
C) History of claustrophobia
D) Prescribed rosiglitazone - correct answer-B) Allergy to shellfish
A nurse is performing discharge teaching for a client who has systemic lupus
erythematosus (SLE). Which of the following instructions should the nurse
include?
A) "Avoid using moisturizing lotions on your skin."
B) "Wash your hair with a mild protein shampoo."
C) "Apply powder liberally to sensitive skin areas."
D) "Use a sun-blocking agent with a sun protection factor of at least 15." -
correct answer-B) "Wash your hair with a mild protein shampoo."
A nurse in the ICU is caring for a client who has heart failure and is receiving a
dobutamine drip. The nurse should identify that which of the following findings
indicates that the medication is effective?
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