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Description:
Comprehensive ATI RN Custom MS2 Cardiovascular Exam updated for 2025. Includes verified
correct answers to strengthen cardiovascular nursing knowledge and prepare students for ATI
Med Surg testing.
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ATI RN MS2 Cardiovascular exam 2025
ATI custom exam answers
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1. A 68-year-old with chest pain has ST-elevation in leads II, III, and aVF. Which coronary
artery is most likely occluded?
A. Left anterior descending
B. Left circumflex
C. Right coronary artery
D. Posterior descending artery
Rationale: Inferior leads II, III, and aVF indicate an inferior MI, most commonly due to
, right coronary artery occlusion. Expect hypotension, bradycardia, and possible AV
conduction disturbances.
2. A patient is prescribed lisinopril after an MI. What is the primary nursing rationale?
A. Decrease heart rate
B. Prevent ventricular remodeling
C. Increase myocardial contractility
D. Reduce platelet aggregation
Rationale: ACE inhibitors (like lisinopril) started after MI reduce afterload and inhibit
adverse ventricular remodeling, lowering mortality and progression to heart failure.
3. Which sign best indicates left-sided heart failure?
A. Peripheral edema
B. JVD
C. Pulmonary crackles
D. Hepatomegaly
Rationale: Left-sided failure causes pulmonary congestion causing crackles, dyspnea,
and orthopnea. Right-sided signs (JVD, hepatomegaly, peripheral edema) are more
systemic.
4. A patient on furosemide reports muscle weakness and palpitations. Which lab should
nurse check first?
A. Sodium
B. Potassium
, C. Calcium
D. Glucose
Rationale: Loop diuretics cause potassium loss leading to weakness, arrhythmias. Check
serum potassium promptly and replace if low. Monitor ECG for changes.
5. Which medication is contraindicated in a patient with systolic heart failure and asthma?
A. Metoprolol
B. Carvedilol
C. Propranolol
D. Nebivolol
Rationale: Nonselective beta-blockers (propranolol) block β2 receptors and can cause
bronchospasm. Use cardioselective agents (metoprolol) cautiously in asthma.
6. A client with stable angina asks what reduces oxygen demand most effectively during an
attack. Nurse replies:
A. Sublingual nitroglycerin
B. IV morphine
C. Aspirin
D. Oxygen
Rationale: Sublingual nitroglycerin causes venodilation and reduces preload, decreasing
myocardial oxygen demand and relieving ischemic chest pain quickly.
7. For a new prescription of warfarin post-MI, which lab guides dosing?
A. Platelet count
, B. PT/INR
C. aPTT
D. PTT
Rationale: Warfarin dosing is monitored using PT/INR to maintain therapeutic
anticoagulation and prevent bleeding or clotting complications.
8. A client reports sudden, severe chest pain, diaphoresis, and nausea. Priority initial
action:
A. Obtain troponin level
B. Give aspirin chewable immediately
C. Start IV fluids
D. Administer subcutaneous heparin
Rationale: Chewing aspirin as soon as possible reduces platelet aggregation and infarct
size. It's a first-line immediate action while activating emergency protocols.
9. Which ECG change is earliest indicator of myocardial ischemia?
A. Pathologic Q waves
B. ST elevation
C. T-wave inversion
D. Bundle branch block
Rationale: T-wave inversion often reflects myocardial ischemia; ST elevation indicates
transmural injury, and Q waves signify infarction after hours to days.