ATI Cardiovascular Test(3
a nurse is preparing to conduct a cardiovascular assessment on a client. which of the following
actions should the nurse plan to take? - ANSWERSauscultate the apical pulse
ask the client if they experience shortness of breath
check the color of the client's skin
inspect the extremities for the presence of edema
a nurse is auscultating heart sounds. Identify the location where the apical pulse is auscultated -
ANSWERSD, under the left nipple
a nurse is completing a medical history on a client. which of the following findings indicates the
client has a family history of cardiovascular disease? - ANSWERSsibling who has HTN
a nurse is auscultating a client's heart sounds. Place the nursing actions for auscultation of the
heart in the correct order. - ANSWERS1.elevate the head of the bed 30 degrees and instruct the
client to breath normally 2. visualize the anatomy of the heart 3. place the stethoscope to the
right sternal border at the 2nd intercostal space 4. place the stethoscope close to the sternal
border at the 4th intercostal space 5. auscultate the apical pulse for 1 minute
a nurse is preparing to perform a cardiovascular assessment on a client. The client asks "why do
you need to use a penlight" which of the following responses should the nurse make? -
ANSWERSthe penlight will allow me to look at the pulses in your neck
a nurse is auscultating heart sounds in a group of clients. Which of the following should the
nurse identify as an expected variation? - ANSWERSan adolescent who has an s3 heart sound
a nurse is preparing to conduct a cardiovascular assessment on a client. which of the following
actions should the nurse plan to take? - ANSWERSauscultate the apical pulse
ask the client if they experience shortness of breath
check the color of the client's skin
inspect the extremities for the presence of edema
a nurse is auscultating heart sounds. Identify the location where the apical pulse is auscultated -
ANSWERSD, under the left nipple
a nurse is completing a medical history on a client. which of the following findings indicates the
client has a family history of cardiovascular disease? - ANSWERSsibling who has HTN
a nurse is auscultating a client's heart sounds. Place the nursing actions for auscultation of the
heart in the correct order. - ANSWERS1.elevate the head of the bed 30 degrees and instruct the
client to breath normally 2. visualize the anatomy of the heart 3. place the stethoscope to the
right sternal border at the 2nd intercostal space 4. place the stethoscope close to the sternal
border at the 4th intercostal space 5. auscultate the apical pulse for 1 minute
a nurse is preparing to perform a cardiovascular assessment on a client. The client asks "why do
you need to use a penlight" which of the following responses should the nurse make? -
ANSWERSthe penlight will allow me to look at the pulses in your neck
a nurse is auscultating heart sounds in a group of clients. Which of the following should the
nurse identify as an expected variation? - ANSWERSan adolescent who has an s3 heart sound
