NURS 4440ATI MED SURG questions and answers.
Med-Surg ATI
CARDIOVASCULAR
1. A nurse is preparing to transfuse a unit of packed red blood cells (RBCs) for a
client who has anemia. Which of the following actions should the nurse take
first?
Witness the informed consent document
2. A nurse is teaching about a low-cholesterol diet to a client who had a
myocardial infarction. Which of the following meal selections by the
client indicates an understanding of the teaching?
Chicken breast and corn on the cob
3. A nurse is caring for a client who has a new diagnosis of pernicious anemia.
The nurse should expect the client's provider to prescribe which of the
following medications for this client?
Vitamin B12
4. A nurse is caring for a client who has a peripherally inserted central
catheter (PICC) in place. Which of the following actions should the nurse
take when handling this central venous access device? (Select all that
apply.)
Flush the line with sterile 0.9% sodium chloride before and after
medication administration
Access the PICC for blood sampling
Perform a heparin flush of the line at least daily when not in use
5. A nurse is monitoring a client who has heart failure related to mitral
stenosis. The client reports shortness of breath on exertion. Which of the
following conditions should the nurse expect?
Increased pulmonary congestion
6. A nurse is preparing an automated external defibrillator (AED) for a client
receiving CPR after a cardiac arrest. Which of the following actions should
the nurse perform first? Apply the defibrillator pads to the client's chest
7. A nurse is reviewing the laboratory findings of a client who has
protein-calorie malnutrition. Which of the following findings should
the nurse expect? Decreased albumin
8. A nurse observes tachycardia, dyspnea, a cough, and distended neck veins
in a client who is receiving a transfusion of packed red blood cells (RBCs).
Which of the following interventions should the nurse use to prevent these
manifestations with the client's next transfusion?
,NURS 4440ATI MED SURG questions and answers.
Use a transfusion pump to regulate and maintain the transfusion at a slower
rate
,NURS 4440ATI MED SURG questions and answers.
9. A nurse is assessing a client who has heart failure and is taking daily
furosemide. The client's apical pulse is weak and irregular. The nurse
should identify these findings as manifestations of which of the following
electrolyte imbalances?
Hypokalemia
10.A nurse is providing teaching about lifestyle changes to a client who
experienced a myocardial infarction and has a new prescription for a
beta blocker. Which of the following client statements indicates an
understanding of the teaching?
"Before taking my medication, I will count my radial pulse rate."
11.A nurse is assessing for disseminated intravascular coagulation (DIC) in a
client who has septic shock secondary to an untreated foot wound. Which of
the following findings should the nurse expect? (Select all that apply.)
Bleeding at the venipuncture
site Petechiae on the chest
and arms Abdominal
distension
12.A nurse is preparing an in-service presentation about assessing clients who
are having an acute myocardial infarction (MI). What is the most common
assessment finding with acute MI?
Substernal chest pain
13.A nurse is teaching a 70-year-old client about risk factors for heart failure.
The client has mild asthma, diabetes mellitus, and coronary artery disease.
Which of the following statements by the client indicates an understanding
of the teaching?
"My coronary artery disease is a risk factor for heart failure."
14.A nurse is planning care for a client who has pernicious anemia. Which of
the following interventions should the nurse include in the plan?
Initiate weekly injections of vitamin B12
15.A nurse is caring for a client who has a platelet count of 50,000/mm^3.
After discontinuing the client's peripheral IV site, which of the following
actions should the nurse take?
Apply pressure to the catheter removal site for 5 min
16.A nurse is teaching a client with heart disease about a low-cholesterol diet.
Which of the following client statements indicates the teaching was
effective?
"I should remove the skin from poultry before eating it."
, NURS 4440ATI MED SURG questions and answers.
17.A nurse is caring for an older adult client who had an acute myocardial
infarction (MI). When assessing this client, the nurse should identify that
older adults are prone to complications of MI from poor tissue perfusion
because of which of the following
age-related factors?
Med-Surg ATI
CARDIOVASCULAR
1. A nurse is preparing to transfuse a unit of packed red blood cells (RBCs) for a
client who has anemia. Which of the following actions should the nurse take
first?
Witness the informed consent document
2. A nurse is teaching about a low-cholesterol diet to a client who had a
myocardial infarction. Which of the following meal selections by the
client indicates an understanding of the teaching?
Chicken breast and corn on the cob
3. A nurse is caring for a client who has a new diagnosis of pernicious anemia.
The nurse should expect the client's provider to prescribe which of the
following medications for this client?
Vitamin B12
4. A nurse is caring for a client who has a peripherally inserted central
catheter (PICC) in place. Which of the following actions should the nurse
take when handling this central venous access device? (Select all that
apply.)
Flush the line with sterile 0.9% sodium chloride before and after
medication administration
Access the PICC for blood sampling
Perform a heparin flush of the line at least daily when not in use
5. A nurse is monitoring a client who has heart failure related to mitral
stenosis. The client reports shortness of breath on exertion. Which of the
following conditions should the nurse expect?
Increased pulmonary congestion
6. A nurse is preparing an automated external defibrillator (AED) for a client
receiving CPR after a cardiac arrest. Which of the following actions should
the nurse perform first? Apply the defibrillator pads to the client's chest
7. A nurse is reviewing the laboratory findings of a client who has
protein-calorie malnutrition. Which of the following findings should
the nurse expect? Decreased albumin
8. A nurse observes tachycardia, dyspnea, a cough, and distended neck veins
in a client who is receiving a transfusion of packed red blood cells (RBCs).
Which of the following interventions should the nurse use to prevent these
manifestations with the client's next transfusion?
,NURS 4440ATI MED SURG questions and answers.
Use a transfusion pump to regulate and maintain the transfusion at a slower
rate
,NURS 4440ATI MED SURG questions and answers.
9. A nurse is assessing a client who has heart failure and is taking daily
furosemide. The client's apical pulse is weak and irregular. The nurse
should identify these findings as manifestations of which of the following
electrolyte imbalances?
Hypokalemia
10.A nurse is providing teaching about lifestyle changes to a client who
experienced a myocardial infarction and has a new prescription for a
beta blocker. Which of the following client statements indicates an
understanding of the teaching?
"Before taking my medication, I will count my radial pulse rate."
11.A nurse is assessing for disseminated intravascular coagulation (DIC) in a
client who has septic shock secondary to an untreated foot wound. Which of
the following findings should the nurse expect? (Select all that apply.)
Bleeding at the venipuncture
site Petechiae on the chest
and arms Abdominal
distension
12.A nurse is preparing an in-service presentation about assessing clients who
are having an acute myocardial infarction (MI). What is the most common
assessment finding with acute MI?
Substernal chest pain
13.A nurse is teaching a 70-year-old client about risk factors for heart failure.
The client has mild asthma, diabetes mellitus, and coronary artery disease.
Which of the following statements by the client indicates an understanding
of the teaching?
"My coronary artery disease is a risk factor for heart failure."
14.A nurse is planning care for a client who has pernicious anemia. Which of
the following interventions should the nurse include in the plan?
Initiate weekly injections of vitamin B12
15.A nurse is caring for a client who has a platelet count of 50,000/mm^3.
After discontinuing the client's peripheral IV site, which of the following
actions should the nurse take?
Apply pressure to the catheter removal site for 5 min
16.A nurse is teaching a client with heart disease about a low-cholesterol diet.
Which of the following client statements indicates the teaching was
effective?
"I should remove the skin from poultry before eating it."
, NURS 4440ATI MED SURG questions and answers.
17.A nurse is caring for an older adult client who had an acute myocardial
infarction (MI). When assessing this client, the nurse should identify that
older adults are prone to complications of MI from poor tissue perfusion
because of which of the following
age-related factors?
