Cardiovascular Part 1 Exam ATI8
A nurse is orienting a newly licensed nurse on the care of a client who is to have a line placed
for hemodynamic monitoring. Which of the following statements by the newly licensed nurse
indicates effectiveness of the teaching?
A. "Air should be instilled into the monitoring system prior to the procedure."
B. "The client should be positioned on the left side during the procedure."
C. "The transducer should be level with the second intercostal space after the line is placed."
D. "A chest x-ray is needed to verify placement after the procedure." - ANSWERSD. "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 7 mmHg and a PAWP of 17 mmHg. Which of the following findings should the nurse expect?
(Select all that apply)
A. Poor skin turgor
B. Bilateral crackles in the lungs
C. Jugular vein distension
D. Dry mucous membranes
E. Hepatomegaly - ANSWERSB. Bilateral crackles in the lungs
C. Jugular vein distension
E. Hepatomegaly
A nurse is teaching a client who is scheduled for an angiography. Which of the following
statements should the nurse include in the teaching?
A. "You should have nothing to or drink for 4 hours prior to the procedure."
B. "You will be given general anesthesia during the procedure."
C. "You should not have this procedure done if you are allergic to eggs."
, D. "You will need to keep your affected leg straight following the procedure." - ANSWERSD. "You
will need to keep your affected leg straight following the procedure."
A nurse at a provider's office is reviewing the laboratory 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? (Select all that apply)
A. Cholesterol (total) 245 mg/dL
B. HDL 90 mg/dL
C. LDL 140 mg/dL
D. Triglycerides 125 mg/dL
E. Troponin I 0.02 ng/mL - ANSWERSA. Cholesterol (total) 245 mg/dL
C. LDL 140 mg/dL
A nurse planning care for a client who has a PICC line in the right arm. Which of the following
interventions should the nurse include in the plan of care? (Select all that apply)
A. Use a 10 mL syringe to flush the PICC line
B. Apply gentle force if resistance in met during injection
C. Cleanse ports with alcohol for 15 seconds prior to use
D. Maintain a transparent dressing over the insertion site
E. Flush with 10 mL heparin before and after medication administration - ANSWERSA. Use a 10
mL syringe to flush the PICC line
C. Cleanse ports with alcohol for 15 seconds prior to use
D. Maintain a transparent dressing over the insertion site
A nurse on a 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 dysrhythima? (Select all the apply)
A. A client who has metabolic alkalosis
B. A client who has a serum potassium level of 4.3 mEq/L
A nurse is orienting a newly licensed nurse on the care of a client who is to have a line placed
for hemodynamic monitoring. Which of the following statements by the newly licensed nurse
indicates effectiveness of the teaching?
A. "Air should be instilled into the monitoring system prior to the procedure."
B. "The client should be positioned on the left side during the procedure."
C. "The transducer should be level with the second intercostal space after the line is placed."
D. "A chest x-ray is needed to verify placement after the procedure." - ANSWERSD. "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 7 mmHg and a PAWP of 17 mmHg. Which of the following findings should the nurse expect?
(Select all that apply)
A. Poor skin turgor
B. Bilateral crackles in the lungs
C. Jugular vein distension
D. Dry mucous membranes
E. Hepatomegaly - ANSWERSB. Bilateral crackles in the lungs
C. Jugular vein distension
E. Hepatomegaly
A nurse is teaching a client who is scheduled for an angiography. Which of the following
statements should the nurse include in the teaching?
A. "You should have nothing to or drink for 4 hours prior to the procedure."
B. "You will be given general anesthesia during the procedure."
C. "You should not have this procedure done if you are allergic to eggs."
, D. "You will need to keep your affected leg straight following the procedure." - ANSWERSD. "You
will need to keep your affected leg straight following the procedure."
A nurse at a provider's office is reviewing the laboratory 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? (Select all that apply)
A. Cholesterol (total) 245 mg/dL
B. HDL 90 mg/dL
C. LDL 140 mg/dL
D. Triglycerides 125 mg/dL
E. Troponin I 0.02 ng/mL - ANSWERSA. Cholesterol (total) 245 mg/dL
C. LDL 140 mg/dL
A nurse planning care for a client who has a PICC line in the right arm. Which of the following
interventions should the nurse include in the plan of care? (Select all that apply)
A. Use a 10 mL syringe to flush the PICC line
B. Apply gentle force if resistance in met during injection
C. Cleanse ports with alcohol for 15 seconds prior to use
D. Maintain a transparent dressing over the insertion site
E. Flush with 10 mL heparin before and after medication administration - ANSWERSA. Use a 10
mL syringe to flush the PICC line
C. Cleanse ports with alcohol for 15 seconds prior to use
D. Maintain a transparent dressing over the insertion site
A nurse on a 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 dysrhythima? (Select all the apply)
A. A client who has metabolic alkalosis
B. A client who has a serum potassium level of 4.3 mEq/L
