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ATI MED SURG CARDIOVASCULAR SYSTEM EXAM QUESTIONS AND ANSWERS LATEST COMPLETE GUIDE RATED A+
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ATI MED SURG CARDIOVASCULAR SYSTEM EXAM QUESTIONS AND ANSWERS LATEST COMPLETE GUIDE RATED A+
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ATI MED SURG CARDIOVASCULAR SYSTEM EXAMQUESTIONS AND ANSWERS LATEST 2023/2024
COMPLETE GUIDE RATED A+
CARDIOVASCULAR
• A nurse is preparing to transfuse a unit of packed red blood cells (RBCs) for a client
who has anemia. Which of the following actions should the nurse take first?
Witness the informed consent document
• A nurse is teaching about a low-cholesterol diet to a client who had a
myocardial infarction. Which of the following meal selections by the client
indicates an understanding of the teaching?
Chicken breast and corn on the cob
• A nurse is caring for a client who has a new diagnosis of pernicious anemia. The
nurse should expect the client's provider to prescribe which of the following
medications for this client?
Vitamin B12
• A nurse is caring for a client who has a peripherally inserted central catheter (PICC)
in place. Which of the following actions should the nurse take when handling this
central venous access device? (Select all that apply.)
Flush the line with sterile 0.9% sodium chloride before and after medication
administration
Access the PICC for blood sampling
Perform a heparin flush of the line at least daily when not in use
• A nurse is monitoring a client who has heart failure related to mitral stenosis. The
client reports shortness of breath on exertion. Which of the following conditions
should the nurse expect?
Increased pulmonary congestion
• A nurse is preparing an automated external defibrillator (AED) for a client receiving
CPR after a cardiac arrest. Which of the following actions should the nurse perform
first? Apply the defibrillator pads to the client's chest
• A nurse is reviewing the laboratory findings of a client who has protein-
calorie malnutrition. Which of the following findings should the nurse
expect? Decreased albumin
,• A nurse observes tachycardia, dyspnea, a cough, and distended neck veins in a
client who is receiving a transfusion of packed red blood cells (RBCs). Which of the
following interventions should the nurse use to prevent these manifestations with the
client's next transfusion?
Use a transfusion pump to regulate and maintain the transfusion at a slower rate
• A nurse is assessing a client who has heart failure and is taking daily furosemide.
The client's apical pulse is weak and irregular. The nurse should identify these
findings as manifestations of which of the following electrolyte imbalances?
Hypokalemia
• A nurse is providing teaching about lifestyle changes to a client who
experienced a myocardial infarction and has a new prescription for a beta
blocker. Which of the following client statements indicates an understanding of
the teaching?
"Before taking my medication, I will count my radial pulse rate."
• A nurse is assessing for disseminated intravascular coagulation (DIC) in a client who
has septic shock secondary to an untreated foot wound. Which of the following
findings should the nurse expect? (Select all that apply.)
Bleeding at the venipuncture
site Petechiae on the chest
and arms Abdominal
distension
• A nurse is preparing an in-service presentation about assessing clients who are
having an acute myocardial infarction (MI). What is the most common assessment
finding with acute MI?
Substernal chest pain
• A nurse is teaching a 70-year-old client about risk factors for heart failure. The client
has mild asthma, diabetes mellitus, and coronary artery disease. Which of the
following statements by the client indicates an understanding of the teaching?
"My coronary artery disease is a risk factor for heart failure."
• A nurse is planning care for a client who has pernicious anemia. Which of the
following interventions should the nurse include in the plan?
Initiate weekly injections of vitamin B12
• A nurse is caring for a client who has a platelet count of 50,000/mm^3. After
discontinuing the client's peripheral IV site, which of the following actions should
the nurse take?
, Apply pressure to the catheter removal site for 5 min
• A nurse is teaching a client with heart disease about a low-cholesterol diet. Which of
the following client statements indicates the teaching was effective?
"I should remove the skin from poultry before eating it."
• A nurse is caring for an older adult client who had an acute myocardial infarction
(MI). When assessing this client, the nurse should identify that older adults are
prone to complications of MI from poor tissue perfusion because of which of the
following
age-related factors?
Peripheral vascular resistance increases.
• A nurse is assessing a client who has an abdominal aortic aneurysm (AAA). Which
of the following findings indicates that the AAA is expanding?
Report of sudden, severe back pain
• A nurse is assessing a client who has peripheral vascular disease and a venous ulcer
on the right ankle. Which of the following findings should the nurse expect in the
client's affected extremity?
Ankle swelling
• A nurse is assessing a client who has pericarditis. Which of the following
manifestations should the nurse expect?
Dyspnea with hiccups
• A nurse is planning care for a client who has acute myelogenous leukemia and a
platelet count of 48,000/mm^3. Which of the following interventions should the nurse
include? Avoid IM injections
• A nurse is providing discharge teaching to a client who had a sickle cell crisis. Which
of the following statements indicates that the client understands the instructions?
"Physical activity is good for me, but I need to avoid overexertion."
• A nurse is assessing a client who has pernicious anemia. Which of the following
findings should the nurse expect?
Paresthesias in the hands and feet
• A nurse is preparing a client for a bone-marrow biopsy. Which of the following pieces
of information should the nurse include in preoperative teaching?
"You'll feel a painful, pulling sensation when the doctor withdraws the marrow."
, • A nurse is reviewing the medical record of a client who has heart failure. Which of
the following findings should the nurse expect?
BNP of 200 pg/mL
• A nurse is assessing a client who has late-stage heart failure and is experiencing
fluid volume overload. Which of the following findings should the nurse expect?
Weight gain of 1 kg (2.2 lb) in 1 day
• A client who has thrombocytopenia asks the nurse why platelets are so important.
Which of the following responses should the nurse make?
“Platelets plug breaks in blood vessels”
• A nurse is caring for a client who is in hypovolemic shock. While waiting for a unit
of blood, the nurse should administer which of the following IV solutions?
0.9 sodium chloride
• A nurse is reviewing laboratory values for an adult client who has sickle cell anemia
and a history of receiving blood transfusions. For which of the following complications
should the nurse monitor?
Iron toxicity
• A nurse is completing an assessment for a client who has a history of unstable
angina. Which of the following findings should the nurse expect?
Chest pain lasts for longer than 15 min.
• A nurse is monitoring the electrocardiogram of a client who has hypocalcemia. Which
of the following findings should the nurse expect?
Prolonged QT intervals
• A nurse is planning care for a client who has thrombocytopenia. Which of the
following interventions should the nurse include in the plan of care?
Measure the client abdominal girth daily
• A nurse is assessing a client who has right-sided heart failure. Which of the
following findings should the nurse expect?
Dependent edema
• A client who just learned that he has variant (Prinzmetal's) angina asks the nurse
how this type of angina compares with stable angina. Which of the following replies
should the nurse make?
"Variant angina can cause changes on your electrocardiogram."
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