ATI Cardiovascular Targeted Exam\\ ATI
Cardiovascular Targeted Exam
COMPREHENSIVE EXIT EXAM RETAKE
2023- 2024 WITH NGN QUESTIONS
(ACTUAL EXAM)
A nurse is caring for a client who is being treated for heart failure and has a prescription
for furosemide. The nurse should plan to monitor for which of the following as an
adverse effect of this medication?
-Shortness of breath
-Lightheadedness
-Dry cough
-Metallic taste - ✔✔ANSWER✔✔>>Lightheadedness
Furosemide can cause a substantial drop in blood pressure, resulting in
lightheadedness or dizziness.
A nurse is caring for a client who is receiving heparin therapy and develops hematuria.
Which of the following actions should the nurse take if the client's aPTT is 96 seconds?
-Increase the heparin infusion flow rate by 2 mL/hr
-Continue to monitor the heparin infusion as prescribed
-Request a prothrombin time (PT)
-Stop the heparin infusion - ✔✔ANSWER✔✔>>Stop the heparin infusion.
The nurse should identify that the client's aPTT is above the critical value and the client
is displaying manifestations of bleeding. Therefore, the nurse should discontinue the
heparin infusion immediately and notify the provider to reduce the risk of client injury.
A nurse is caring for a client who is scheduled for a coronary artery bypass graft
(CABG) in 2 hr. Which of the following client statements indicates a need for further
clarification by the nurse?
-"My arthritis is really bothering me because I haven't taken my aspirin in a week."
, -"My blood pressure shouldn't be high because I took my blood pressure medication this
morning."
-"I took my warfarin last night according to my usual schedule."
-"I will check my blood sugar because I took a reduced dose of insulin this morning." -
✔✔ANSWER✔✔>>"I took my warfarin last night according to my usual schedule."
Clients who are scheduled for a CABG should not take anticoagulants, such as
warfarin, for several days prior to the surgery to prevent excessive bleeding.
A nurse is caring for a client who was admitted for treatment of left-sided heart failure
with intravenous loop diuretics and digitalis therapy. The client is experiencing
weakness and an irregular heart rate. Which of the following actions should the nurse
take first?
-Obtain client's current weight
-Review serum electrolyte values
-Determine the time of the last digoxin dose
-Check the client's urine output - ✔✔ANSWER✔✔>>Review serum electrolyte values.
Weakness and irregular heart rate indicate that the client is at the greatest risk for
electrolyte imbalance, an adverse effect of loop diuretics. The first action the nurse
should take is to review the client's electrolyte values, particularly the potassium level,
because the client is at risk for dysrhythmias from hypokalemia.
A nurse is caring for a postoperative client 1 hr following an aortic aneurysm repair.
Which of the following findings can indicate shock and should be reported to the
provider?
-Serosanguineous drainage on dressing
-Severe pain with coughing
-Urine output of 20 mL/hr
-Increase in temperature from 36.8 C (98.2 F) to 37.5C (99.5 F) -
✔✔ANSWER✔✔>>Urine output of 20 mL/hr
Urine output less than 30 mL/hr is a manifestation of shock. Urine output is decreased
due to a compensatory decreased blood flow to the kidneys, hypovolemia, or graft
thrombosis or rupture.
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has changed
from normal sinus rhythm to supraventricular tachycardia. The nurse should prepare to
assist with which of the following interventions?
-Delivery of a percordial thump
-Vagal stimulation
-Administration of atropine IV
-Defibrillation - ✔✔ANSWER✔✔>>Vagal stimulation.
Cardiovascular Targeted Exam
COMPREHENSIVE EXIT EXAM RETAKE
2023- 2024 WITH NGN QUESTIONS
(ACTUAL EXAM)
A nurse is caring for a client who is being treated for heart failure and has a prescription
for furosemide. The nurse should plan to monitor for which of the following as an
adverse effect of this medication?
-Shortness of breath
-Lightheadedness
-Dry cough
-Metallic taste - ✔✔ANSWER✔✔>>Lightheadedness
Furosemide can cause a substantial drop in blood pressure, resulting in
lightheadedness or dizziness.
A nurse is caring for a client who is receiving heparin therapy and develops hematuria.
Which of the following actions should the nurse take if the client's aPTT is 96 seconds?
-Increase the heparin infusion flow rate by 2 mL/hr
-Continue to monitor the heparin infusion as prescribed
-Request a prothrombin time (PT)
-Stop the heparin infusion - ✔✔ANSWER✔✔>>Stop the heparin infusion.
The nurse should identify that the client's aPTT is above the critical value and the client
is displaying manifestations of bleeding. Therefore, the nurse should discontinue the
heparin infusion immediately and notify the provider to reduce the risk of client injury.
A nurse is caring for a client who is scheduled for a coronary artery bypass graft
(CABG) in 2 hr. Which of the following client statements indicates a need for further
clarification by the nurse?
-"My arthritis is really bothering me because I haven't taken my aspirin in a week."
, -"My blood pressure shouldn't be high because I took my blood pressure medication this
morning."
-"I took my warfarin last night according to my usual schedule."
-"I will check my blood sugar because I took a reduced dose of insulin this morning." -
✔✔ANSWER✔✔>>"I took my warfarin last night according to my usual schedule."
Clients who are scheduled for a CABG should not take anticoagulants, such as
warfarin, for several days prior to the surgery to prevent excessive bleeding.
A nurse is caring for a client who was admitted for treatment of left-sided heart failure
with intravenous loop diuretics and digitalis therapy. The client is experiencing
weakness and an irregular heart rate. Which of the following actions should the nurse
take first?
-Obtain client's current weight
-Review serum electrolyte values
-Determine the time of the last digoxin dose
-Check the client's urine output - ✔✔ANSWER✔✔>>Review serum electrolyte values.
Weakness and irregular heart rate indicate that the client is at the greatest risk for
electrolyte imbalance, an adverse effect of loop diuretics. The first action the nurse
should take is to review the client's electrolyte values, particularly the potassium level,
because the client is at risk for dysrhythmias from hypokalemia.
A nurse is caring for a postoperative client 1 hr following an aortic aneurysm repair.
Which of the following findings can indicate shock and should be reported to the
provider?
-Serosanguineous drainage on dressing
-Severe pain with coughing
-Urine output of 20 mL/hr
-Increase in temperature from 36.8 C (98.2 F) to 37.5C (99.5 F) -
✔✔ANSWER✔✔>>Urine output of 20 mL/hr
Urine output less than 30 mL/hr is a manifestation of shock. Urine output is decreased
due to a compensatory decreased blood flow to the kidneys, hypovolemia, or graft
thrombosis or rupture.
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has changed
from normal sinus rhythm to supraventricular tachycardia. The nurse should prepare to
assist with which of the following interventions?
-Delivery of a percordial thump
-Vagal stimulation
-Administration of atropine IV
-Defibrillation - ✔✔ANSWER✔✔>>Vagal stimulation.
