ATI MED SURG CARDIOVASCULAR
A nurse is planning care for a client who is having a percutaneous transluminal coronary
angioplasty (PTCA) with stent placement. Which of the following actions should the
nurse anticipate in the post-procedure plan of care?
A. Instruct the client about a long-term cardiac conditioning program
B. Administer scheduled doses of acetaminophen
C. Check for peak laboratory markers of myocardial damage
D. Monitor for bleeding - ANSWER-D. Monitor for bleeding
A nurse is providing discharge teaching to an adult female client who has infective
endocarditis about how to prevent recurrence. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I will ask my provider to change my contraception to an intrauterine device."
B. "I will notify my doctor before I have dental procedures."
C. "I will avoid using antiseptic mouthwash for oral care."
D. "I will wear a mask when I go out in public." - ANSWER-B. "I will notify my doctor
before I have dental procedures."
A nurse is planning care for a client during a sickle cell crisis. Which of the following
interventions should the nurse include in the client's plan of care?
A. Maintain the client's knees and hips in a flexed position
B. Apply cold compresses to painful joints
C. Withhold opioids until the crisis is resolved
D. Encourage increased fluid intake - ANSWER-D. Encourage increased fluid intake
A nurse is teaching a client who has iron-deficiency anemia. The nurse should
encourage the client to increase consumption of which of the following foods?
A. Beef liver
B. Oranges
C. Turnips
D. Whole milk - ANSWER-A. Beef liver
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?
A. "I should eat foods that are high in saturated fat."
B. "Before taking my medication, I will count my radial pulse rate."
C. "I will exercise once a week for an hour at the health club."
D. "I will stop taking my medication when my blood pressure is within a normal range." -
ANSWER-B. "Before taking my medication, I will count my radial pulse rate."
A nurse is teaching a client about dietary modifications to control blood pressure. Which
of the following food choices should the nurse identify as an indication that the client
understands the instructions?
A. Onion soup and salad
,B. Vegetarian wrap with potato chips
C. Grilled chicken salad with fresh tomatoes
D. Chicken bouillon and crackers - ANSWER-C. Grilled chicken salad with fresh
tomatoes
A nurse is caring for a client who has peripheral vascular disease (PVD) and ulcers on
the toes. Which of the following findings of PVD is a risk factor for ulceration of the
extremities?
A. Insufficient skin care
B. Dehydration
C. Immobility
D. Impaired circulation - ANSWER-D. Impaired circulation
A nurse is reviewing the laboratory findings of a client who has protein-calorie
malnutrition. Which of the following findings should the nurse expect?
A. Decreased albumin
B. Elevated hemoglobin
C. Elevated lymphocytes
D. Decreased cortisol - ANSWER-A. Decreased albumin
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?
A. "I should remove the skin from poultry before eating it."
B. "I will eat seafood once per week."
C. "I should use margarine when preparing meals."
D. "I can use whole milk in my oatmeal." - ANSWER-A. "I should remove the skin from
poultry before eating it."
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?
A. Press the analyze button on the machine
B. Stop CPR and move away from the client
C. Push the charge button to prepare to shock
D. Apply the defibrillator pads to the client's chest - ANSWER-D. Apply the defibrillator
pads to the client's chest
A nurse is caring for a client who is receiving IV ampicillin and develops urticaria and
dyspnea. Which of the following actions should the nurse take first?
A. Elevate the client's feet and legs
B. Administer epinephrine
C. Infuse 0.9% sodium chloride
D. Stop the medication infusion - ANSWER-D. Stop the medication infusion
A nurse is caring for a client with heart failure whose telemetry reading displays a
flattening of the T wave. Which of the following laboratory results should the nurse
anticipate as the cause of this ECG change?
, A. Potassium 2.8 mEq/L
B. Digoxin level 0.7 ng/mL
C. Hemoglobin 9.8 g/dL
D. Calcium 8.0 mg - ANSWER-A. Potassium 2.8 mEq/L
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?
A. Hypokalemia
B. Hypophosphatemia
C. Hypercalcemia
D. Hypermagnesemia - ANSWER-A. Hypokalemia
A nurse is caring for a client who has an abdominal aortic aneurysm and is scheduled
for surgery. The client's vital signs are blood pressure 160/98 mmHg, heart rate
102/min, respirations 22/min, and SpO2 95%. Which of the following actions should the
nurse take?
A. Administer antihypertensive medication for blood pressure
B. Monitor to ensure the client's urinary output is 20 mL/hr
C. Withhold pain medication to prepare the client for surgery
D. Take the client's vital signs every 2 hr - ANSWER-A. Administer antihypertensive
medication for blood pressure
A nurse is completing a medication history for a client who reports using fish oil as a
dietary supplement. Which of the following substances in fish oil should the nurse
recognize as a health benefit to the client?
A. Omega-3 fatty acids
B. Antioxidants
C. Vitamins A, D, and C
D. Beta-carotene - ANSWER-A. Omega-3 fatty acids
A nurse is reviewing the menu selections of a client who has heart failure and
anticipates discharge to home the following day. Which of the following lunch choices
should the nurse identify as an indication that the client understands his dietary
instructions?
A. Turkey on whole-wheat bread
B. Hamburger and french fries
C. Frankfurter on a white roll
D. Macaroni and cheese - ANSWER-A. Turkey on whole-wheat bread
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?
A. Apply warm compresses
B. Apply pressure to the catheter removal site for 5 min
C. Place the affected arm in a dependent position
A nurse is planning care for a client who is having a percutaneous transluminal coronary
angioplasty (PTCA) with stent placement. Which of the following actions should the
nurse anticipate in the post-procedure plan of care?
A. Instruct the client about a long-term cardiac conditioning program
B. Administer scheduled doses of acetaminophen
C. Check for peak laboratory markers of myocardial damage
D. Monitor for bleeding - ANSWER-D. Monitor for bleeding
A nurse is providing discharge teaching to an adult female client who has infective
endocarditis about how to prevent recurrence. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I will ask my provider to change my contraception to an intrauterine device."
B. "I will notify my doctor before I have dental procedures."
C. "I will avoid using antiseptic mouthwash for oral care."
D. "I will wear a mask when I go out in public." - ANSWER-B. "I will notify my doctor
before I have dental procedures."
A nurse is planning care for a client during a sickle cell crisis. Which of the following
interventions should the nurse include in the client's plan of care?
A. Maintain the client's knees and hips in a flexed position
B. Apply cold compresses to painful joints
C. Withhold opioids until the crisis is resolved
D. Encourage increased fluid intake - ANSWER-D. Encourage increased fluid intake
A nurse is teaching a client who has iron-deficiency anemia. The nurse should
encourage the client to increase consumption of which of the following foods?
A. Beef liver
B. Oranges
C. Turnips
D. Whole milk - ANSWER-A. Beef liver
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?
A. "I should eat foods that are high in saturated fat."
B. "Before taking my medication, I will count my radial pulse rate."
C. "I will exercise once a week for an hour at the health club."
D. "I will stop taking my medication when my blood pressure is within a normal range." -
ANSWER-B. "Before taking my medication, I will count my radial pulse rate."
A nurse is teaching a client about dietary modifications to control blood pressure. Which
of the following food choices should the nurse identify as an indication that the client
understands the instructions?
A. Onion soup and salad
,B. Vegetarian wrap with potato chips
C. Grilled chicken salad with fresh tomatoes
D. Chicken bouillon and crackers - ANSWER-C. Grilled chicken salad with fresh
tomatoes
A nurse is caring for a client who has peripheral vascular disease (PVD) and ulcers on
the toes. Which of the following findings of PVD is a risk factor for ulceration of the
extremities?
A. Insufficient skin care
B. Dehydration
C. Immobility
D. Impaired circulation - ANSWER-D. Impaired circulation
A nurse is reviewing the laboratory findings of a client who has protein-calorie
malnutrition. Which of the following findings should the nurse expect?
A. Decreased albumin
B. Elevated hemoglobin
C. Elevated lymphocytes
D. Decreased cortisol - ANSWER-A. Decreased albumin
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?
A. "I should remove the skin from poultry before eating it."
B. "I will eat seafood once per week."
C. "I should use margarine when preparing meals."
D. "I can use whole milk in my oatmeal." - ANSWER-A. "I should remove the skin from
poultry before eating it."
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?
A. Press the analyze button on the machine
B. Stop CPR and move away from the client
C. Push the charge button to prepare to shock
D. Apply the defibrillator pads to the client's chest - ANSWER-D. Apply the defibrillator
pads to the client's chest
A nurse is caring for a client who is receiving IV ampicillin and develops urticaria and
dyspnea. Which of the following actions should the nurse take first?
A. Elevate the client's feet and legs
B. Administer epinephrine
C. Infuse 0.9% sodium chloride
D. Stop the medication infusion - ANSWER-D. Stop the medication infusion
A nurse is caring for a client with heart failure whose telemetry reading displays a
flattening of the T wave. Which of the following laboratory results should the nurse
anticipate as the cause of this ECG change?
, A. Potassium 2.8 mEq/L
B. Digoxin level 0.7 ng/mL
C. Hemoglobin 9.8 g/dL
D. Calcium 8.0 mg - ANSWER-A. Potassium 2.8 mEq/L
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?
A. Hypokalemia
B. Hypophosphatemia
C. Hypercalcemia
D. Hypermagnesemia - ANSWER-A. Hypokalemia
A nurse is caring for a client who has an abdominal aortic aneurysm and is scheduled
for surgery. The client's vital signs are blood pressure 160/98 mmHg, heart rate
102/min, respirations 22/min, and SpO2 95%. Which of the following actions should the
nurse take?
A. Administer antihypertensive medication for blood pressure
B. Monitor to ensure the client's urinary output is 20 mL/hr
C. Withhold pain medication to prepare the client for surgery
D. Take the client's vital signs every 2 hr - ANSWER-A. Administer antihypertensive
medication for blood pressure
A nurse is completing a medication history for a client who reports using fish oil as a
dietary supplement. Which of the following substances in fish oil should the nurse
recognize as a health benefit to the client?
A. Omega-3 fatty acids
B. Antioxidants
C. Vitamins A, D, and C
D. Beta-carotene - ANSWER-A. Omega-3 fatty acids
A nurse is reviewing the menu selections of a client who has heart failure and
anticipates discharge to home the following day. Which of the following lunch choices
should the nurse identify as an indication that the client understands his dietary
instructions?
A. Turkey on whole-wheat bread
B. Hamburger and french fries
C. Frankfurter on a white roll
D. Macaroni and cheese - ANSWER-A. Turkey on whole-wheat bread
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?
A. Apply warm compresses
B. Apply pressure to the catheter removal site for 5 min
C. Place the affected arm in a dependent position
