ATI MED SURG FINAL WITH
VERIFIED QUESTIONS AND
ACCURATE ANSWERS GRADED
A+ 2026
What is normal range for cholesterol, HDL, LDL - answer-Less than 200, above 40, less
than 130
What is the desired INR range for people taking warfarin - answer-2.0-3.0
What is an indicator of cardiac tamponade - answer-Blood pressure is 10 MM HG or
higher on expiration then on inspiration
Patients scheduled for a coronary artery bypass graft should not take anticoagulants for
at least blank prior to the surgery to prevent excessive bleeding - answer-A week
A patient is admitted with a diagnosis of Bradydysrhythmia. What assessment finding
requires immediate intervention? - answer-The patient reports weakness and fatigue
Following insertion of a permanent pacemaker, a patient states they cannot get rid of
these hiccups. Why is this potentially a problem? - answer-Hiccups may indicate that
the pacemaker is stimulating the chest wall or diaphragm. This could indicate a
complication such as lead wire perforation
Chapter 27 - answer-
What is the normal range for creatine kinase? When are elevated levels first detectable
after myocardial injury and what is expected duration of the elevated levels? - answer-
30 to 170 units/L, 4 to 6 hours, 3 days
,What is the normal range for troponin T? When are elevated levels first detectable after
myocardial injury and what is expected duration of the elevated levels? - answer-Less
than 0.2 ng/L, 3 to 5 hours, 14 to 21 days
What is normal range for troponin I? When are elevated levels first detectable after
myocardial injury and what is expected duration of the elevated levels? - answer-Less
than 0.03, three hours, 7 to 10 days
What is normal range for myoglobin? When are elevated levels first detectable after
myocardial injury and what is expected duration of the elevated levels? - answer-Less
than 90 mcg/L, two hours, 24 hours
While an echocardiogram is being performed what side should the patient lie on? -
answer-Left side and remain still
What are indications for an echocardiogram - answer-Cardiomyopathy
Heart failure
Angina
Myocardial infarction
What are indications for stress test - answer-Dysrhythmias
HF
Angina
MI
What are two medications that are prescribed for pharmacological stress test - answer-
Dobutamine
Adenosine
What do you instruct the patient to do 2 to 4 hours before a stress test - answer-Avoid
tobacco, alcohol and caffeine
,Hemodynamic monitoring involves special indwelling catheters that provide
information about blood volume and perfusion, fluid status and how well the heart is
pumping. Arterial lines are placed in the radial (most common), brachial or femoral
artery. What should you Monitor for? - answer-Monitor circulation in the limb with the
arterial line. Such as capillary refill, temperature, color. Arterial lines are not used for IV
fluid administration
The pulmonary artery (PA) catheter is inserted into a large vein (internal jugular, femoral,
subclavian, brachial) and threaded through the right atria and ventricles into a branch of
the pulmonary artery. PA catheters have multiple lumens, ports and components that
allow for various hemodynamic measurements, blood sampling and - answer-Infusion
of IV fluids
What are the different lumens used for? - answer-
What is the expected reference range for CVP (Central venous pressure) - answer-1 to 8
MM HG
What is the expected reference range for pulmonary artery systolic (PAS) - answer-15 to
26
What is the expected range for pulmonary artery diastolic (PAD) - answer-5 to 15
What is expected range for pulmonary artery wedge pressure (PAWP)? - answer-4 to 12
What is the expected range for cardiac output - answer-4 to 7 L/minute
What is expected range for mixed venous oxygen saturation - answer-60% to 80%
When should a nurse anticipate lower hemodynamic values? - answer-In older patients
especially if dehydration is a complication
, What position should the patient be in with hemodynamic monitoring - answer-Supine
or Trendelenburg
What are post procedure nursing interventions for hemodynamic monitoring - answer-1.
Obtain chest x-ray to confirm catheter placement
2. Continually monitor vitals
3. Compare NIBP to arterial blood pressure
4. Observe and document waveforms. Report changes in waveforms to the provider
5. Document catheter placement each shift and as needed
6. Place the patient in supine position prior to recording hemodynamic values ( HOB
can be elevated 15° to 30°)
What are complications of hemodynamic monitoring - answer-
What are nursing actions preprocedure before an angiography - answer-1. Patient is
NPO for at least eight hours before
2. Assess for iodine/shellfish allergy
3. Assess renal function
4. Teach the client that the affected leg must remain straight after the procedure
5. The other normal stuff like ensure informed consent blah blah
What are post procedure nursing interventions for an angiography - answer-1. Assess
vitals every 15 minutes for One hour, every 30 minutes for one hour, every hour for four
hours and then every four hours
2. Assess the site for bleeding and hematoma with every vital sign check
3. Maintain bed rest for 4 to 6 hours after the procedure
4. Monitor urine output and administer IV fluids for hydration (contrast media acts as an
osmotic diuretic)
VERIFIED QUESTIONS AND
ACCURATE ANSWERS GRADED
A+ 2026
What is normal range for cholesterol, HDL, LDL - answer-Less than 200, above 40, less
than 130
What is the desired INR range for people taking warfarin - answer-2.0-3.0
What is an indicator of cardiac tamponade - answer-Blood pressure is 10 MM HG or
higher on expiration then on inspiration
Patients scheduled for a coronary artery bypass graft should not take anticoagulants for
at least blank prior to the surgery to prevent excessive bleeding - answer-A week
A patient is admitted with a diagnosis of Bradydysrhythmia. What assessment finding
requires immediate intervention? - answer-The patient reports weakness and fatigue
Following insertion of a permanent pacemaker, a patient states they cannot get rid of
these hiccups. Why is this potentially a problem? - answer-Hiccups may indicate that
the pacemaker is stimulating the chest wall or diaphragm. This could indicate a
complication such as lead wire perforation
Chapter 27 - answer-
What is the normal range for creatine kinase? When are elevated levels first detectable
after myocardial injury and what is expected duration of the elevated levels? - answer-
30 to 170 units/L, 4 to 6 hours, 3 days
,What is the normal range for troponin T? When are elevated levels first detectable after
myocardial injury and what is expected duration of the elevated levels? - answer-Less
than 0.2 ng/L, 3 to 5 hours, 14 to 21 days
What is normal range for troponin I? When are elevated levels first detectable after
myocardial injury and what is expected duration of the elevated levels? - answer-Less
than 0.03, three hours, 7 to 10 days
What is normal range for myoglobin? When are elevated levels first detectable after
myocardial injury and what is expected duration of the elevated levels? - answer-Less
than 90 mcg/L, two hours, 24 hours
While an echocardiogram is being performed what side should the patient lie on? -
answer-Left side and remain still
What are indications for an echocardiogram - answer-Cardiomyopathy
Heart failure
Angina
Myocardial infarction
What are indications for stress test - answer-Dysrhythmias
HF
Angina
MI
What are two medications that are prescribed for pharmacological stress test - answer-
Dobutamine
Adenosine
What do you instruct the patient to do 2 to 4 hours before a stress test - answer-Avoid
tobacco, alcohol and caffeine
,Hemodynamic monitoring involves special indwelling catheters that provide
information about blood volume and perfusion, fluid status and how well the heart is
pumping. Arterial lines are placed in the radial (most common), brachial or femoral
artery. What should you Monitor for? - answer-Monitor circulation in the limb with the
arterial line. Such as capillary refill, temperature, color. Arterial lines are not used for IV
fluid administration
The pulmonary artery (PA) catheter is inserted into a large vein (internal jugular, femoral,
subclavian, brachial) and threaded through the right atria and ventricles into a branch of
the pulmonary artery. PA catheters have multiple lumens, ports and components that
allow for various hemodynamic measurements, blood sampling and - answer-Infusion
of IV fluids
What are the different lumens used for? - answer-
What is the expected reference range for CVP (Central venous pressure) - answer-1 to 8
MM HG
What is the expected reference range for pulmonary artery systolic (PAS) - answer-15 to
26
What is the expected range for pulmonary artery diastolic (PAD) - answer-5 to 15
What is expected range for pulmonary artery wedge pressure (PAWP)? - answer-4 to 12
What is the expected range for cardiac output - answer-4 to 7 L/minute
What is expected range for mixed venous oxygen saturation - answer-60% to 80%
When should a nurse anticipate lower hemodynamic values? - answer-In older patients
especially if dehydration is a complication
, What position should the patient be in with hemodynamic monitoring - answer-Supine
or Trendelenburg
What are post procedure nursing interventions for hemodynamic monitoring - answer-1.
Obtain chest x-ray to confirm catheter placement
2. Continually monitor vitals
3. Compare NIBP to arterial blood pressure
4. Observe and document waveforms. Report changes in waveforms to the provider
5. Document catheter placement each shift and as needed
6. Place the patient in supine position prior to recording hemodynamic values ( HOB
can be elevated 15° to 30°)
What are complications of hemodynamic monitoring - answer-
What are nursing actions preprocedure before an angiography - answer-1. Patient is
NPO for at least eight hours before
2. Assess for iodine/shellfish allergy
3. Assess renal function
4. Teach the client that the affected leg must remain straight after the procedure
5. The other normal stuff like ensure informed consent blah blah
What are post procedure nursing interventions for an angiography - answer-1. Assess
vitals every 15 minutes for One hour, every 30 minutes for one hour, every hour for four
hours and then every four hours
2. Assess the site for bleeding and hematoma with every vital sign check
3. Maintain bed rest for 4 to 6 hours after the procedure
4. Monitor urine output and administer IV fluids for hydration (contrast media acts as an
osmotic diuretic)
