ATI Medical Surgical Cardiovascular Exam
Questions And Answers 2025 Update.
A nurse is caring for a client who has a history of engine and is scheduled for exercise
electrocardiography at 1100. Which of the following statements by the client requires the nurse
to contact the provider for possible rescheduling?
A. I'm still hungry after the bowl of cereal I ate at 7 am
B. I didn't take my heart pills tis morning because the doctor told me not to
C. I have had chest pain a couple times since I saw my doctor last week
D. "I smoked a cigarette this morning to calm my nerves about having this procedure" -
Answer✔D. "I smoked a cigarette this morning to calm my nerves about having this procedure"
A nurse is providing discharge teaching for a client who has heart failure. the nurse should
instruct the client to report which of the following findings immediately to the provider?
A. Weight gain of 2 lb. in 24 hr
b. Increase of 10 mmhg in systolic BP
c. Dyspnea with exertion
d. Dizziness when rising quickly - Answer✔A. Weight gain of 2 lb. in 24 hr
A nurse is caring for a client who has a history of DVT and is receiving warfarin. Which of the
following client findings provides the nurse with the best evidence regarding the effectiveness
of the warfarin therapy?
A. Hemoglobin 14 g/dl
B. Minimal bruising of extremities
C. Decreased Blood pressure
D. INR 2.0 - Answer✔D. INR 2.0Rationale: The nurse should identify that an INR of 2.0 is within
the desired reference range of 2.0 to 3.0 for a client who has a deep-vein thrombosis and is
receiving warfarin to reduce the risk of new clot formation and a stroke.
Atrial depolarization - P Wave on ECG - Answer✔
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A nurse is caring for a client who is receiving heparin therapy and develops hematuria. Which
one of the following actions should the nurse take if the clients aPTTis 96 seconds?
A. Increase the heparin infusion flow rate by 2 ml/hr
B. Continue to monitor the heparin infusion as prescribed
C. Request a prothrombin time
D. Stop the heparin infusion - Answer✔D. Stop the heparin infusion
Rationale: The nurse should identify that the client's aPTT is above the critical value and the
client is displaying manifestations of bleeding. Therefore, the nurse should discontinue the
heparin infusion immediately and notify the provider to reduce the risk of client injury.
A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. The
nurse should plan to monitor for and report which of the following findings to the provider
immediately?
A. Slurred speech
B. Irregular pulse
C. Dependent edema
D. Persistent fatigue - Answer✔A. Slurred speech Rationale: The greatest risk to this client is
injury from an embolus caused by the pooling of blood that can occur with atrial fibrillation.
Slurred speech can indicate inadequate circulation to the brain because of an embolus.
Therefore, the nurse should report this finding to the provider immediately.
A nurse is reviewing the laboratory results of several clients who have peripheral arterial
disease. The nurse should plan to provide dietary teaching for the client who has which
laboratory values?
A. Cholesterol 180 mg/dl, HDL 70 mg/dl, LDL 90 mg/dl
b. Cholesterol 185 mg/dl, HDL 50 mg/dl, LDL 120 mg/dl
c. Cholesterol 190 mg/dl, HDL 25 mg/dl, LDL 160 mg/dl
d. Cholesterol 195 mg/dl, HDL 55 mg/dl, LDL 125 mg/dl - Answer✔c. Cholesterol 190 mg/dl,
HDL 25 mg/dl, LDL 160 mg/dl
Rationale: These laboratory values for HDL and LDL are outside of the expected reference range
and indicate that the nurse should provide dietary teaching to the client. The expected
reference range for cholesterol is less than 200 mg/dL; for HDL is above 45 mg/dL for males and
above 55 mg/dL for females; and for LDL is less than 130 mg/dL.
A nurse is assessing a client in the emergency room who has a bradydysrhythmia. Which of the
following findings should the nurse expect?
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