ATI - THE CARDIOVASCULAR
SYSTEM TEST WITH CORRECT
ANSWERS
a nurse is preparing to conduct a cardiovascular assessment on a client. which of the following
actions should the nurse plan to take? - ANSWER --auscultate the apical pulse
ask the client if they experience shortness of breath
check the color of the client's skin
inspect the extremities for the presence of edema
a nurse is auscultating heart sounds. Identify the location where the apical pulse is auscultated -
ANSWER --D, under the left nipple
a nurse is completing a medical history on a client. which of the following findings indicates the
client has a family history of cardiovascular disease? - ANSWER --sibling who has HTN
a nurse is preparing to perform a cardiovascular assessment on a client. The client asks "why do
you need to use a penlight" which of the following responses should the nurse make? -
ANSWER --the penlight will allow me to look at the pulses in your neck
a nurse is auscultating a client's heart sounds. Place the nursing actions for auscultation of the
heart in the correct order. - ANSWER --1.elevate the head of the bed 30 degrees and
instruct the client to breath normally 2. visualize the anatomy of the heart 3. place the
, stethoscope to the right sternal border at the 2nd intercostal space 4. place the stethoscope
close to the sternal border at the 4th intercostal space 5. auscultate the apical pulse for 1
minute
a nurse is auscultating heart sounds in a group of clients. Which of the following should the
nurse identify as an expected variation? - ANSWER --an adolescent who has an s3 heart
sound
a nurse is teaching a client about behaviors that promote cardiovascular health. Which of the
following client statements indicate an understanding of the teaching? - ANSWER --> I am
going to start walking several times a week
> I plan to join a support group to help me stop smoking
> I will be sure to have my BP checked at least every year
a nurse is assessing a client who reports an increase in their stress level related to the demands
of their job. Which of the following interventions should the nurse recommend for the client to
reduce their stress? - ANSWER --discuss the benefits of medication with the client
a nurse is caring for a client who has a foot ulcer. Which of the following findings should the
nurse identify as consistent with peripheral venous disease? - ANSWER --palpable dorsalis
pedal pulse
a nurse is preparing to teach a client who has a BMI about a heart-healthy diet. Which of the
following dietary recommendations should the nurse include? - ANSWER --limit sodium
intake to less than 3,000 mg/day
a nurse is caring for a client who has a peripheral venous ulcer. Which of the following actions
should the nurse take? - ANSWER -->instruct the client to sit with their legs uncrossed
> encourage the client to avoid tobacco products
> instruct the client to cleanse the area with mild soap
SYSTEM TEST WITH CORRECT
ANSWERS
a nurse is preparing to conduct a cardiovascular assessment on a client. which of the following
actions should the nurse plan to take? - ANSWER --auscultate the apical pulse
ask the client if they experience shortness of breath
check the color of the client's skin
inspect the extremities for the presence of edema
a nurse is auscultating heart sounds. Identify the location where the apical pulse is auscultated -
ANSWER --D, under the left nipple
a nurse is completing a medical history on a client. which of the following findings indicates the
client has a family history of cardiovascular disease? - ANSWER --sibling who has HTN
a nurse is preparing to perform a cardiovascular assessment on a client. The client asks "why do
you need to use a penlight" which of the following responses should the nurse make? -
ANSWER --the penlight will allow me to look at the pulses in your neck
a nurse is auscultating a client's heart sounds. Place the nursing actions for auscultation of the
heart in the correct order. - ANSWER --1.elevate the head of the bed 30 degrees and
instruct the client to breath normally 2. visualize the anatomy of the heart 3. place the
, stethoscope to the right sternal border at the 2nd intercostal space 4. place the stethoscope
close to the sternal border at the 4th intercostal space 5. auscultate the apical pulse for 1
minute
a nurse is auscultating heart sounds in a group of clients. Which of the following should the
nurse identify as an expected variation? - ANSWER --an adolescent who has an s3 heart
sound
a nurse is teaching a client about behaviors that promote cardiovascular health. Which of the
following client statements indicate an understanding of the teaching? - ANSWER --> I am
going to start walking several times a week
> I plan to join a support group to help me stop smoking
> I will be sure to have my BP checked at least every year
a nurse is assessing a client who reports an increase in their stress level related to the demands
of their job. Which of the following interventions should the nurse recommend for the client to
reduce their stress? - ANSWER --discuss the benefits of medication with the client
a nurse is caring for a client who has a foot ulcer. Which of the following findings should the
nurse identify as consistent with peripheral venous disease? - ANSWER --palpable dorsalis
pedal pulse
a nurse is preparing to teach a client who has a BMI about a heart-healthy diet. Which of the
following dietary recommendations should the nurse include? - ANSWER --limit sodium
intake to less than 3,000 mg/day
a nurse is caring for a client who has a peripheral venous ulcer. Which of the following actions
should the nurse take? - ANSWER -->instruct the client to sit with their legs uncrossed
> encourage the client to avoid tobacco products
> instruct the client to cleanse the area with mild soap
