CARDIAC ATI EXAM REVIEW SOLVED QUESTIONS COMPLETE ANSWERS GRADED A
PLUS
Cardiac ATI Final TEST 2026/2027 Questions and
Answers Verified Solutions Latest Update
Question:
You are reviewing the chart of a PT who is receiving heparin therapy for a DV T. Which
intervention should the RN anticipate taking if the PTs aPTT is 96 seconds?1. Increase heparin
infusion rate by 2mL/hr2. Continue monitor the heparin infusion as prescribed3. Request a
prothrombin time PT4. Stop the heparin infusion.
Answer:
4. Stop the heparin infusion- pt is above the therapeutic range of 1-5-2 times the control. should
discontinue to prevent harm
Question:
You are providing teaching to a PT who is 2 days post op following a heart transplant. Which
following statements should the nurse include in the teaching?1. You may no longer be able to feel
chest pain2. Your level of activity intolerance will not change3. after 6 months you will no longer
need to restrict you Na4. You will be able to stop taking immunosuppressants after 12 months.
Answer:
1. You may no longer be able to feel chest pain- transplant PTs no longer feel chest pain due to
denervation of the heart
Question:
B) Prothrombin (PT).
Answer:
A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which
of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin? A)
Hemoglobin (Hgb)B) Prothrombin (PT)C) Bleeding timeD) Activated partial thromboplastin time
(aPTT)
Question:
,ER nurse is assessing PT with bradydysrhythmia. Which finding should he expect?1. Confusion2.
Friction Rub3. HTN4. Dry skin.
Answer:
1. Confusion- as a result of decreased tissue perfusion
Question:
B) The client's bladder becomes distended.
Answer:
A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client
findings should the nurse identify as an indication the client is at risk for experiencing autonomic
dysreflexia?A) The client states having a severe headache.B) The client's bladder becomes
distended.C) The client's blood pressure becomes elevated.D) The client states having nasal
congestion.
Question:
You are caring for a PT who had an anterior M I. PTs hx shows she is 1 wk post op open
cholecystectomy the RN knows that which intervention is contraindicated?1. Administering IV
morphine2. giving O2 at 2L NC3. Helping client to BSC4. Assisting in thrombolytic therapy.
Answer:
4. Assisting in thrombolytic therapy- having surgery within 3 wks is a contraindication for
thrombolytic therapy
Question:
You are caring for a PT who has endocarditis. Which finding should you recognize as a
complication?1. Ventricular depolarization2. Guillain Barre Syndrome3. Myelodysplastic
syndrome4. Valvular disease.
Answer:
4. Valvular disease- damage will occur as a result of inflammation or infection of the endocardium
Question:
, A) Impaired tissue perfusion.
Answer:
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 perfusionB) Alteration in body imageC) Alteration in activity toleranceD) Impaired
Skin integrity
Question:
You are caring for PT with BP of 254/139, you recognize the PT is in a hypertensive crisis. Which
action should you take first?1. Obtain blood samples for testing2. Tell the PT to report vision
changes3. Place HOB at 45 degrees4. Initiate IV access.
Answer:
3. Place HOB at 45 degrees-ABC's this will promote respiratory status and promote venous return
reducing workload on heart**Initiate IV access- not first action
Question:
When performing a cardiac assessment what is the point of maximal impulse?1. 2nd intercostal
space right to the sternum2. 2nd intercostal space left to the sternum3. 5th intercostal space to the
left of thermal border4. Left 5th intercostal space in the midclavicular line.
Answer:
4. Left 5th intercostal space in the midclavicular line-this is best to hear the apex of the heart which
is considered maximal impulse
Question:
You are caring for a PT who is experiencing Afib. You should report what finding to the provider?1.
Slurred speech2. Irregular pulse3. Dependent edema4. Persistant fatigue.
Answer:
1. Slurred speech- greatest risk is an embolus and this can indicate embolus
PLUS
Cardiac ATI Final TEST 2026/2027 Questions and
Answers Verified Solutions Latest Update
Question:
You are reviewing the chart of a PT who is receiving heparin therapy for a DV T. Which
intervention should the RN anticipate taking if the PTs aPTT is 96 seconds?1. Increase heparin
infusion rate by 2mL/hr2. Continue monitor the heparin infusion as prescribed3. Request a
prothrombin time PT4. Stop the heparin infusion.
Answer:
4. Stop the heparin infusion- pt is above the therapeutic range of 1-5-2 times the control. should
discontinue to prevent harm
Question:
You are providing teaching to a PT who is 2 days post op following a heart transplant. Which
following statements should the nurse include in the teaching?1. You may no longer be able to feel
chest pain2. Your level of activity intolerance will not change3. after 6 months you will no longer
need to restrict you Na4. You will be able to stop taking immunosuppressants after 12 months.
Answer:
1. You may no longer be able to feel chest pain- transplant PTs no longer feel chest pain due to
denervation of the heart
Question:
B) Prothrombin (PT).
Answer:
A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which
of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin? A)
Hemoglobin (Hgb)B) Prothrombin (PT)C) Bleeding timeD) Activated partial thromboplastin time
(aPTT)
Question:
,ER nurse is assessing PT with bradydysrhythmia. Which finding should he expect?1. Confusion2.
Friction Rub3. HTN4. Dry skin.
Answer:
1. Confusion- as a result of decreased tissue perfusion
Question:
B) The client's bladder becomes distended.
Answer:
A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client
findings should the nurse identify as an indication the client is at risk for experiencing autonomic
dysreflexia?A) The client states having a severe headache.B) The client's bladder becomes
distended.C) The client's blood pressure becomes elevated.D) The client states having nasal
congestion.
Question:
You are caring for a PT who had an anterior M I. PTs hx shows she is 1 wk post op open
cholecystectomy the RN knows that which intervention is contraindicated?1. Administering IV
morphine2. giving O2 at 2L NC3. Helping client to BSC4. Assisting in thrombolytic therapy.
Answer:
4. Assisting in thrombolytic therapy- having surgery within 3 wks is a contraindication for
thrombolytic therapy
Question:
You are caring for a PT who has endocarditis. Which finding should you recognize as a
complication?1. Ventricular depolarization2. Guillain Barre Syndrome3. Myelodysplastic
syndrome4. Valvular disease.
Answer:
4. Valvular disease- damage will occur as a result of inflammation or infection of the endocardium
Question:
, A) Impaired tissue perfusion.
Answer:
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 perfusionB) Alteration in body imageC) Alteration in activity toleranceD) Impaired
Skin integrity
Question:
You are caring for PT with BP of 254/139, you recognize the PT is in a hypertensive crisis. Which
action should you take first?1. Obtain blood samples for testing2. Tell the PT to report vision
changes3. Place HOB at 45 degrees4. Initiate IV access.
Answer:
3. Place HOB at 45 degrees-ABC's this will promote respiratory status and promote venous return
reducing workload on heart**Initiate IV access- not first action
Question:
When performing a cardiac assessment what is the point of maximal impulse?1. 2nd intercostal
space right to the sternum2. 2nd intercostal space left to the sternum3. 5th intercostal space to the
left of thermal border4. Left 5th intercostal space in the midclavicular line.
Answer:
4. Left 5th intercostal space in the midclavicular line-this is best to hear the apex of the heart which
is considered maximal impulse
Question:
You are caring for a PT who is experiencing Afib. You should report what finding to the provider?1.
Slurred speech2. Irregular pulse3. Dependent edema4. Persistant fatigue.
Answer:
1. Slurred speech- greatest risk is an embolus and this can indicate embolus
