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ATI RN · ATI Medical Surgical · Cardiovascular Test Bank

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient is admitted to your acute coronary care unit with the diagnosis of ACS. The nurse has seen ECG changes that are indicative of an anterior wall infarction and is observing the patient for signs/symptoms of complications. The nurse has noted the following vital sign trends: 1100-HR 92, RR 24, BP 140/88, Cardiac rhythm NSR 1115-HR 96, RR 26, BP 128/82, Cardiac rhythm NSR 1130-HR 104, RR 28, BP 102/68, Cardiac rhythm ST 1145-HR 120, RR 32, BP 80/52, Cardiac rhythm ST with frequent PVC's The nurse should be alert for which of the following complications? Choose all that apply.

A. Syncope

B. Pericarditis

C. Cardiogenic shock

D. Cardiac tamponade

Expert Explanatory Rationale

Correct Answer: Cardiogenic shock

Question 2 of 5

Delegation Decision: The unit is very busy and short staffed. What could be delegated to the unlicensed assistive personnel (UAP)?

A. Administer antihypertensive medications to stable patients

B. Obtain orthostatic blood pressure (BP) readings for older patients

C. Check BP readings for the patient receiving IV enalapril (Vasotec)

D. Teach about home BP monitoring and use of automatic BP monitoring equipment

Expert Explanatory Rationale

Correct Answer: Obtain orthostatic blood pressure (BP) readings for older patients

Question 3 of 5

A client complains of crushing chest pain that radiates to his left arm. He should be presented with the following treatment:

A. Aspirin, oxygen, nitroglycerin, and morphine

B. Aspirin, oxygen, nitroglycerin, and codeine

C. Oxygen, nitroglycerin, meperidine, and thrombolytics

D. Aspirin, oxygen, nitroprusside, and morphine

Expert Explanatory Rationale

Correct Answer: Aspirin, oxygen, nitroglycerin, and morphine

Question 4 of 5

In providing community education on prevention of peripheral arterial disease, the nurse is careful to include which of the following as a major risk factor?

A. Dysrhythmias

B. Low-protein intake

C. Exposure to cool weather

D. Cigarette smoking

Expert Explanatory Rationale

Correct Answer: Cigarette smoking

Question 5 of 5

Patient teaching that is specific for a person with Raynaud's disease should include:

A. Eating a low calorie diet with no more than 45% of the calories comprised of carbohydrates

B. Drinking 8 to 10 eight ounce glasses of water daily.

C. Covering the hands before going outdoors on a cold day.

D. Avoiding animal fats and either baking or broiling all lean meat.

Expert Explanatory Rationale

Correct Answer: Covering the hands before going outdoors on a cold day.

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