MEDSURG ATI EXAM 4 PRACTICE
QUESTIONS WITH CORRECT ANSWERS
A nurse is orienting a nurse on the care of a pt who has a line placed for hemodynamic
monitoring. Which of the following indicates understanding? - Answer-A chest x-ray is
needed to verify placement after the procedure.
A nurse is assessing a client who is undergoing hemodynamic monitoring. The client
has a CVP of 7mm Hg and a PAWP of 17 mm Hg. Which of the following findings is
expected - Answer-Bilateral crackles in the lungs
Jugular vein distention
Hepatomegaly
A nurse is teaching a client who is scheduled for coronary angiography. Which of the
following statements should the nurse to include? - Answer-You will need to keep your
affected leg straight following the procedure.
A nurse at a provider's office is reviewing the lab test results for a group of clients. The
nurse should identify that which of the following results indicates the client is at risk for
heart disease? - Answer-Cholesterol (total) 245mg/dL
LDL 140 mg/dL
A nurse is planning care for a client who has a PICC line in the right arm. Which of the
following interventions should the nurse include? - Answer-Use a 10mL syringe to flush
the PICC line.
Cleanse ports with alcohol for 15 seconds prior to use.
Maintain a transparent dressing over the insertion site.
A nurse on the cardiac unit is caring for a group of clients. The nurse should recognize
which of the following clients as being at risk for the development of a dysrhythmia? -
Answer-A client who has metabolic alkalosis
A client who has COPD
A client who underwent stent placement in a coronary artery.
A nurse is admitting a client who has complete heart block as demonstrated by ECG.
The clients heart rate is 34/min and BP is 83/48 mmHg . The client is lethargic and
unable to complete sentences. Which of the following actions should the nurse perform
first? - Answer-Apply transcutaneous pacemaker pads
A nurse is caring for a client following the insertion of a temporary venous pacemaker
via femoral artery that is set as a VVI pacemaker rate of 70/min. Which of the following
findings should the nurse report to the provider ? - Answer-Cool and clammy foot with
capillary refill of 5 seconds.
Persistent hiccups
, A nurse is completing discharge teaching with a client who has a permanent
pacemaker. Which of the following statements by the client indicates understanding of
the teaching? - Answer-I will notify the airport screeners about my pacemaker.
A cardiac nurse educator reviewing the use of the fixed rate mode pacemaker with a
group of newly hired nurses. Which of the following statements by the newly hired nurse
indicates understanding of the review? - Answer-This means the pacemaker fires in a
asynchronous pattern
A nurse is completing discharge teaching with a client following placement of an ICD.
Which of the following info should the nurse include - Answer-Avoid large magnetic
fields
Take body temp at the same time each day
A nurse is caring for a client who is 4 hr postop following coronary artery bypass grafting
(CABG) surgery. The client is able to inspire 200mL with the incentive spirometer, then
declines to try to cough because of fatigue and pain. Which of the following actions
should the nurse take? - Answer-Administer IV bolus analgesic, and return in 15 min.
A nurse i caring for a client following peripheral bypass graft surgery of the left lower
extremity. Which of the following findings pose an immediate concern? - Answer-
Capillary refill of affected limb of 6 seconds
Mottled appearance of the limb
A nurse educator is reviewing the use of cardiopulmonary bypass during surgery for
coronary artery bypass grafting with a group of nurses. Which of the following
statements should the nurse include in the discussion? - Answer-The clients demand for
oxygen is lowered
Motion of the heart ceases
rewarming of the client takes place
A nurse is caring for a client following an angioplasty that was inserted through the
femoral artery. While turning the client the nurse discovers blood underneath the clients
lower back. Which of the following findings should the nurse suspect? - Answer-
Bleeding from the incisional site
A nurse is completing the admission assessment of a client who will undergo peripheral
bypass graft surgery of the left leg. Which of the following findings should the nurse
expect? - Answer-Report the intermittent claudication in the affected leg
A nurse is admitting a client who has a suspected MI and a history of angina. Which of
the following findings will help the nurse distinguish stable angina from an MI? - Answer-
Stable angina an be relieved with rest and nitroglycerin.
QUESTIONS WITH CORRECT ANSWERS
A nurse is orienting a nurse on the care of a pt who has a line placed for hemodynamic
monitoring. Which of the following indicates understanding? - Answer-A chest x-ray is
needed to verify placement after the procedure.
A nurse is assessing a client who is undergoing hemodynamic monitoring. The client
has a CVP of 7mm Hg and a PAWP of 17 mm Hg. Which of the following findings is
expected - Answer-Bilateral crackles in the lungs
Jugular vein distention
Hepatomegaly
A nurse is teaching a client who is scheduled for coronary angiography. Which of the
following statements should the nurse to include? - Answer-You will need to keep your
affected leg straight following the procedure.
A nurse at a provider's office is reviewing the lab test results for a group of clients. The
nurse should identify that which of the following results indicates the client is at risk for
heart disease? - Answer-Cholesterol (total) 245mg/dL
LDL 140 mg/dL
A nurse is planning care for a client who has a PICC line in the right arm. Which of the
following interventions should the nurse include? - Answer-Use a 10mL syringe to flush
the PICC line.
Cleanse ports with alcohol for 15 seconds prior to use.
Maintain a transparent dressing over the insertion site.
A nurse on the cardiac unit is caring for a group of clients. The nurse should recognize
which of the following clients as being at risk for the development of a dysrhythmia? -
Answer-A client who has metabolic alkalosis
A client who has COPD
A client who underwent stent placement in a coronary artery.
A nurse is admitting a client who has complete heart block as demonstrated by ECG.
The clients heart rate is 34/min and BP is 83/48 mmHg . The client is lethargic and
unable to complete sentences. Which of the following actions should the nurse perform
first? - Answer-Apply transcutaneous pacemaker pads
A nurse is caring for a client following the insertion of a temporary venous pacemaker
via femoral artery that is set as a VVI pacemaker rate of 70/min. Which of the following
findings should the nurse report to the provider ? - Answer-Cool and clammy foot with
capillary refill of 5 seconds.
Persistent hiccups
, A nurse is completing discharge teaching with a client who has a permanent
pacemaker. Which of the following statements by the client indicates understanding of
the teaching? - Answer-I will notify the airport screeners about my pacemaker.
A cardiac nurse educator reviewing the use of the fixed rate mode pacemaker with a
group of newly hired nurses. Which of the following statements by the newly hired nurse
indicates understanding of the review? - Answer-This means the pacemaker fires in a
asynchronous pattern
A nurse is completing discharge teaching with a client following placement of an ICD.
Which of the following info should the nurse include - Answer-Avoid large magnetic
fields
Take body temp at the same time each day
A nurse is caring for a client who is 4 hr postop following coronary artery bypass grafting
(CABG) surgery. The client is able to inspire 200mL with the incentive spirometer, then
declines to try to cough because of fatigue and pain. Which of the following actions
should the nurse take? - Answer-Administer IV bolus analgesic, and return in 15 min.
A nurse i caring for a client following peripheral bypass graft surgery of the left lower
extremity. Which of the following findings pose an immediate concern? - Answer-
Capillary refill of affected limb of 6 seconds
Mottled appearance of the limb
A nurse educator is reviewing the use of cardiopulmonary bypass during surgery for
coronary artery bypass grafting with a group of nurses. Which of the following
statements should the nurse include in the discussion? - Answer-The clients demand for
oxygen is lowered
Motion of the heart ceases
rewarming of the client takes place
A nurse is caring for a client following an angioplasty that was inserted through the
femoral artery. While turning the client the nurse discovers blood underneath the clients
lower back. Which of the following findings should the nurse suspect? - Answer-
Bleeding from the incisional site
A nurse is completing the admission assessment of a client who will undergo peripheral
bypass graft surgery of the left leg. Which of the following findings should the nurse
expect? - Answer-Report the intermittent claudication in the affected leg
A nurse is admitting a client who has a suspected MI and a history of angina. Which of
the following findings will help the nurse distinguish stable angina from an MI? - Answer-
Stable angina an be relieved with rest and nitroglycerin.
