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ATI Targeted Medical-Surgical 2019: Cardiovascular questions with correct answers
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ATI Targeted Medical-Surgical 2019: Cardiovascular questions with correct answers
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ATI Targeted Medical-Surgical 2019: Cardiovascularquestions with correct answers
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."
Rationale: Clients who are scheduled for a CABG should not take
anticoagulants, such as warfarin, for several days prior to the surgery to
prevent excessive bleeding.
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
Rationale: The nurse should recognize that major surgery within the
previous 3 weeks is a contraindication for thrombolytic therapy.
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/dl
b. 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 caring for a client who was admitted for a treatment of left-
sided heart failure with intravenous loop diuretics and digitalis therapy.
The client is experiencing weakness and an irregular heart rate. Which
of the following actions should the nurse take first?
A. Obtain clients current weight
B. Review serum electrolyte values
, C. Determine the time of the last digoxin dose
D. Check the clients urine output) Correct Answer-B. Review serum
electrolyte values
Rationale: Weakness and irregular heart rate indicate that the client is at
the greatest risk for electrolyte imbalance, an adverse effect of loop
diuretics. The first action the nurse should take is to review the client's
electrolyte values, particularly the potassium level, because the client is
at risk for dysrhythmias from hypokalemia.
A nurse is caring for a client following insertion of a permanent
pacemaker. Which of the following client statements indicates a
potential complication of the insertion procedure?
A. "I can't get rid of these hiccups."
b. "I feel dizzy when I stand."
c. "My incision site stings."
d. "I have a headache." Correct Answer-A. "I can't get rid of these
hiccups."
Rationale:
A nurse is caring for a client who has endocarditis. Which of the
following findings should the nurse recognize as a potential
complication?
A. Ventricular depolarization
B. Guillain-Barre syndrome
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