ATI MED SURG II: Cardiac Problem set Exam Questions with
all answers Correctly provided Latest 2025/2026
A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the
following cardiac components should the nurse identify as the role of the P wave?
A) Ventricular depolarization
B) Slow repolarization of ventricular Purkinje fibers
C) Atrial depolarization
D)Early ventricular repolarization - correct answer C
A nurse is caring for a client who has valvular heart disease and is at risk for developing
left-sided heart failure. Which of the following manifestations should alert the nurse the
client is developing this condition?
A) Anorexia
B) Weight gain
C) Breathlessness
D) Distended abdomen - correct answer C
A nurse is caring for a client who reports an area of redness, warmth, tenderness and
pain in the right calf. The nurse anticipates which of the following orders when notifying
the provider of this finding?
A) Obtain a venous duplex ultrasound
B) Obtain impedance plethysmography.
C) Monitor Homan's sign.
D) Apply cold therapy to the affected leg. - correct answer A
A nurse is preparing a client for magnetic resonance imaging (MRI) of the heart and
great vessels. Which of the following instructions should the nurse include about this
test?
A) "It requires removing metal objects like jewelry."
B) "It takes about 5 or 10 min."
,C) "It requires fasting the morning of the test."
D) "'It requires electrodes on the client's chest." - correct answer A
A nurse is admitting a client who has acute heart failure following myocardial infarction
(MI). The nurse recognizes that which of the following prescriptions bv the provider
requires clarificacion!
A) Morphine sulfate 2 mg IV bolus every 2 hr PRN pain
B) Laboratory testing of serum potassium upon admission
C) 0.9% normal saline IV at 50 mL/hr continuous
D) Bumetanide 1 mg IV bolus every 12 hr - correct answer C
While performing an admission assessment for a client, the nurse notes that the client
has varicose veins with ulcerations and lower extremity edema with a report of a feeling
of heaviness. Which of the following nursing diagnoses should the nurse identify as
being the priority in the client's care?
A) Impaired tissue perfusion
B)Alteration in body image
C) Alteration in activity tolerance
D) Impaired skin integrity - correct answer A
A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring.
The nurse understands that the pacemaker is functioning properly when which of the
following appears on the monitor strip?
A) Pacemaker spikes after each QRS complex
B) Pacemaker spikes before each P wave
C) Pacemaker spikes before each QRS complex
D) Pacemaker spikes with each T wave - correct answer C
A nurse is assessing a client who has fluid overload. Which of the following findings
should the nurse expect? (Select all that apply.)
A) Increased heart rate
, B) Increased blood pressure
C) Increased respiratory rate
D) Increase hematocrit
E) Increased temperature - correct answer A, B, C
A nurse is preparing a client who is scheduled for an echocardiogram the following day.
which of the following instructions should the nurse include about the test?
A) "It might cause slight discomfort in the chest area."
B) "It takes about 5 or 10 minutes."
C) "It requires lying quietly on one side."
D) "It is best to have no food or beverages the day of the test." - correct answer C
A nurse is caring for a client who has pericarditis and reports feeling a new onset of
palpitations and shortness of breath. Which of the following assessments should
indicate to the nurse that the client may have developed atrial fibrillation?
A) Different blood pressures in the upper limbs.
B) Different apical and radial pulses.
C) Differences between oral and axillary temperatures.
D) Differences in upper and lower lung sounds. - correct answer B
A nurse is teaching the partner of a client who had an acute mvocardial infarction (MI)
about the reason blood was drawn from the client. Which of the following statements
should the nurse make regarding cardiac enzymes studies?
A) "These tests help determine the degree of damage to the heart tissues."
B) "Cardiac enzymes will identify the location of the MI."
C) "These tests will enable the provider to determine the heart structure and mobility of
the heart valves."
D) "Cardiac enzymes assist in diagnosing the presence of pulmonary congestion." -
correct answer A
all answers Correctly provided Latest 2025/2026
A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the
following cardiac components should the nurse identify as the role of the P wave?
A) Ventricular depolarization
B) Slow repolarization of ventricular Purkinje fibers
C) Atrial depolarization
D)Early ventricular repolarization - correct answer C
A nurse is caring for a client who has valvular heart disease and is at risk for developing
left-sided heart failure. Which of the following manifestations should alert the nurse the
client is developing this condition?
A) Anorexia
B) Weight gain
C) Breathlessness
D) Distended abdomen - correct answer C
A nurse is caring for a client who reports an area of redness, warmth, tenderness and
pain in the right calf. The nurse anticipates which of the following orders when notifying
the provider of this finding?
A) Obtain a venous duplex ultrasound
B) Obtain impedance plethysmography.
C) Monitor Homan's sign.
D) Apply cold therapy to the affected leg. - correct answer A
A nurse is preparing a client for magnetic resonance imaging (MRI) of the heart and
great vessels. Which of the following instructions should the nurse include about this
test?
A) "It requires removing metal objects like jewelry."
B) "It takes about 5 or 10 min."
,C) "It requires fasting the morning of the test."
D) "'It requires electrodes on the client's chest." - correct answer A
A nurse is admitting a client who has acute heart failure following myocardial infarction
(MI). The nurse recognizes that which of the following prescriptions bv the provider
requires clarificacion!
A) Morphine sulfate 2 mg IV bolus every 2 hr PRN pain
B) Laboratory testing of serum potassium upon admission
C) 0.9% normal saline IV at 50 mL/hr continuous
D) Bumetanide 1 mg IV bolus every 12 hr - correct answer C
While performing an admission assessment for a client, the nurse notes that the client
has varicose veins with ulcerations and lower extremity edema with a report of a feeling
of heaviness. Which of the following nursing diagnoses should the nurse identify as
being the priority in the client's care?
A) Impaired tissue perfusion
B)Alteration in body image
C) Alteration in activity tolerance
D) Impaired skin integrity - correct answer A
A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring.
The nurse understands that the pacemaker is functioning properly when which of the
following appears on the monitor strip?
A) Pacemaker spikes after each QRS complex
B) Pacemaker spikes before each P wave
C) Pacemaker spikes before each QRS complex
D) Pacemaker spikes with each T wave - correct answer C
A nurse is assessing a client who has fluid overload. Which of the following findings
should the nurse expect? (Select all that apply.)
A) Increased heart rate
, B) Increased blood pressure
C) Increased respiratory rate
D) Increase hematocrit
E) Increased temperature - correct answer A, B, C
A nurse is preparing a client who is scheduled for an echocardiogram the following day.
which of the following instructions should the nurse include about the test?
A) "It might cause slight discomfort in the chest area."
B) "It takes about 5 or 10 minutes."
C) "It requires lying quietly on one side."
D) "It is best to have no food or beverages the day of the test." - correct answer C
A nurse is caring for a client who has pericarditis and reports feeling a new onset of
palpitations and shortness of breath. Which of the following assessments should
indicate to the nurse that the client may have developed atrial fibrillation?
A) Different blood pressures in the upper limbs.
B) Different apical and radial pulses.
C) Differences between oral and axillary temperatures.
D) Differences in upper and lower lung sounds. - correct answer B
A nurse is teaching the partner of a client who had an acute mvocardial infarction (MI)
about the reason blood was drawn from the client. Which of the following statements
should the nurse make regarding cardiac enzymes studies?
A) "These tests help determine the degree of damage to the heart tissues."
B) "Cardiac enzymes will identify the location of the MI."
C) "These tests will enable the provider to determine the heart structure and mobility of
the heart valves."
D) "Cardiac enzymes assist in diagnosing the presence of pulmonary congestion." -
correct answer A
