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ATI MED SURG CARDIAC EXAM 2025/2026 NEWEST
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS |ALREADY GRADED A+|
A patient has recently started taking oral digoxin (Lanoxin) in
addition to furosemide (Lasix) and captopril (Capoten) for control
of heart failure. Which assessment finding by the home health
nurse is most important to communicate to the health care
provider? -ANSWERS-Serum potassium level is 3.0 mEq/L after 1
week of therapy
An outpatient who has heart failure returns to the clinic after 2
weeks of therapy with carvedilol (Coreg). Which of these
assessment findings is most important for the nurse to report to
the health care provider? -ANSWERS-BP of 88/42 mm Hg
A patient who is receiving dobutamine (Dobutrex) for the
treatment of acute decompensated heart failure (ADHF) has the
following nursing actions included in the plan of care. Which
action will be best for the RN to delegate to an experienced
LPN/LVN? -ANSWERS-Document the patient's BP and heart rate
every hour.
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To determine whether there is a delay in impulse conduction
through the atria, the nurse will measure the length of the
patient's -ANSWERS-P wave.
The nurse needs to estimate quickly the heart rate for a patient
with a regular heart rhythm. Which method will be best to use? -
ANSWERS-Use the 3-second markers to count the number of
QRS complexes in 6seconds and multiply by 10.
A patient has a junctional escape rhythm on the monitor. The
nurse will expect the patient to have a heart rate of how many
beats/minute? -ANSWERS-40 to 60
The nurse obtains a monitor strip on a patient who has had a
myocardial infarction and makes the following analysis: P wave
not apparent, ventricular rate 162, R-R interval regular, P-R
interval not measurable, and QRS complex wide and distorted,
QRS duration 0.18 second. The nurse interprets the patient's
cardiac rhythm as -ANSWERS-ventricular tachycardia.
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A patient with dilated cardiomyopathy has an atrial fibrillation that
has been unresponsive to drug therapy for several days. The
nurse anticipates that the patient may need teaching about -
ANSWERS-anticoagulant therapy with warfarin (Coumadin). (afib
more than 48 hours requires anticoagulant for 3 weeks before
attempting cardioversion)
Which information will the nurse include when teaching a patient
who is scheduled to have a permanent pacemaker inserted for
treatment of chronic atrial fibrillation with slow ventricular
response? -ANSWERS-The pacemaker stimulates a heart beat if
the patient's heart rate drops too low
A patient has received instruction on the management of a new
permanent pacemaker before discharge from the hospital. The
nurse recognizes that teaching has been effective when the
patient tells the nurse, -ANSWERS-"I won't lift the arm on the
pacemaker side up very high until I see the doctor."
Which action should the nurse take when preparing for
cardioversion of a patient with supraventricular tachycardia who is
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alert and has a blood pressure of 110/66 mm Hg? -ANSWERS-
Administer a sedative before cardioversion is implemented.
A 19-year-old has a mandatory electrocardiogram (ECG) before
participating on a college swim team and is found to have sinus
bradycardia, rate 52. BP is 114/54, and the student denies any
health problems. What action by the nurse is appropriate? -
ANSWERS-Allow the student to participate on the swim team.
When analyzing the waveforms of a patient's electrocardiogram
(ECG), the nurse will need to investigate further upon finding a -
ANSWERS-QRS interval of 0.14 second.
Which laboratory result for a patient whose cardiac monitor shows
multifocal premature ventricular contractions (PVCs) is most
important for the nurse to communicate to the health care
provider? -ANSWERS-Serum potassium 2.8 mEq/L
A patient's cardiac monitor has a pattern of undulations of varying
contours and amplitude with no measurable ECG pattern. The
ATI MED SURG CARDIAC EXAM 2025/2026 NEWEST
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS |ALREADY GRADED A+|
A patient has recently started taking oral digoxin (Lanoxin) in
addition to furosemide (Lasix) and captopril (Capoten) for control
of heart failure. Which assessment finding by the home health
nurse is most important to communicate to the health care
provider? -ANSWERS-Serum potassium level is 3.0 mEq/L after 1
week of therapy
An outpatient who has heart failure returns to the clinic after 2
weeks of therapy with carvedilol (Coreg). Which of these
assessment findings is most important for the nurse to report to
the health care provider? -ANSWERS-BP of 88/42 mm Hg
A patient who is receiving dobutamine (Dobutrex) for the
treatment of acute decompensated heart failure (ADHF) has the
following nursing actions included in the plan of care. Which
action will be best for the RN to delegate to an experienced
LPN/LVN? -ANSWERS-Document the patient's BP and heart rate
every hour.
, Page |2
To determine whether there is a delay in impulse conduction
through the atria, the nurse will measure the length of the
patient's -ANSWERS-P wave.
The nurse needs to estimate quickly the heart rate for a patient
with a regular heart rhythm. Which method will be best to use? -
ANSWERS-Use the 3-second markers to count the number of
QRS complexes in 6seconds and multiply by 10.
A patient has a junctional escape rhythm on the monitor. The
nurse will expect the patient to have a heart rate of how many
beats/minute? -ANSWERS-40 to 60
The nurse obtains a monitor strip on a patient who has had a
myocardial infarction and makes the following analysis: P wave
not apparent, ventricular rate 162, R-R interval regular, P-R
interval not measurable, and QRS complex wide and distorted,
QRS duration 0.18 second. The nurse interprets the patient's
cardiac rhythm as -ANSWERS-ventricular tachycardia.
, Page |3
A patient with dilated cardiomyopathy has an atrial fibrillation that
has been unresponsive to drug therapy for several days. The
nurse anticipates that the patient may need teaching about -
ANSWERS-anticoagulant therapy with warfarin (Coumadin). (afib
more than 48 hours requires anticoagulant for 3 weeks before
attempting cardioversion)
Which information will the nurse include when teaching a patient
who is scheduled to have a permanent pacemaker inserted for
treatment of chronic atrial fibrillation with slow ventricular
response? -ANSWERS-The pacemaker stimulates a heart beat if
the patient's heart rate drops too low
A patient has received instruction on the management of a new
permanent pacemaker before discharge from the hospital. The
nurse recognizes that teaching has been effective when the
patient tells the nurse, -ANSWERS-"I won't lift the arm on the
pacemaker side up very high until I see the doctor."
Which action should the nurse take when preparing for
cardioversion of a patient with supraventricular tachycardia who is
, Page |4
alert and has a blood pressure of 110/66 mm Hg? -ANSWERS-
Administer a sedative before cardioversion is implemented.
A 19-year-old has a mandatory electrocardiogram (ECG) before
participating on a college swim team and is found to have sinus
bradycardia, rate 52. BP is 114/54, and the student denies any
health problems. What action by the nurse is appropriate? -
ANSWERS-Allow the student to participate on the swim team.
When analyzing the waveforms of a patient's electrocardiogram
(ECG), the nurse will need to investigate further upon finding a -
ANSWERS-QRS interval of 0.14 second.
Which laboratory result for a patient whose cardiac monitor shows
multifocal premature ventricular contractions (PVCs) is most
important for the nurse to communicate to the health care
provider? -ANSWERS-Serum potassium 2.8 mEq/L
A patient's cardiac monitor has a pattern of undulations of varying
contours and amplitude with no measurable ECG pattern. The
