ATI CARDIOVASCULAR TEST PRACTICE Exam Questions and
Answers with 100% Complete Solutions And Rationale |
Verified UPDATED!!!
1. A client is admitted with left-sided heart failure. Which of the following findings should
the nurse expect?
A. Jugular vein distension
B. Dependent edema in the ankles
C. Crackles in the lungs
D. Hepatomegaly
Answer: C
Rationale: Left-sided heart failure leads to pulmonary congestion (e.g., crackles) because
blood backs up into the lungs. Jugular vein distension and hepatomegaly more commonly
indicate right-sided failure; dependent edema also fits right-sided or general failure.
2. A nurse is caring for a client receiving Enoxaparin (Lovenox). What is the most
important lab value to monitor?
A. Hemoglobin
B. Platelet count
C. White blood cell count
D. aPTT
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, Answer: B
Rationale: Although enoxaparin affects coagulation, the priority is platelet count because
of risk for heparin-induced thrombocytopenia (HIT). aPTT is less relevant because
LMWHs (like enoxaparin) have a more predictable effect and usually don’t require
routine aPTT monitoring.
3. A client is about to have a femoral arterial cardiac catheterization. Which nursing
intervention should the nurse plan for after the procedure?
A. Have the client sit upright within 1 hour
B. Keep the client’s hip & leg extended straight for prescribed time
C. Ambulate the client as soon as possible
D. Check pulses every 4 hours
Answer: B
Rationale: After femoral access, the leg should remain straight (flat) to prevent
bleeding/hematoma from the insertion site. Sitting upright or early ambulation increases
risk. Pulses should be checked frequently (often every 15-30 minutes initially) rather than
every 4 hours.
4. A client has a diagnosis of Cor Pulmonale. The nurse reviews the health history. Which
condition likely contributed to this diagnosis?
A. Aortic stenosis
B. Chronic obstructive pulmonary disease (COPD)
C. Mitral regurgitation
D. Pericarditis
Answer: B
Rationale: Cor pulmonale is right-ventricular failure due to pulmonary hypertension
often caused by chronic lung disease (like COPD). The other options more often affect
left-heart or valvular function.
5. A client arrives with chest pain unrelieved by rest or nitroglycerin and lasting over 30
minutes. The nurse recognises this as likely:
A. Stable angina
B. Variant (Prinzmetal) angina
C. Myocardial infarction (MI)
D. Unstable angina
2
Answer: C
Page
Rationale: Unrelieved chest pain lasting >30 minutes despite medications is
EXAMPREPMASTER
Answers with 100% Complete Solutions And Rationale |
Verified UPDATED!!!
1. A client is admitted with left-sided heart failure. Which of the following findings should
the nurse expect?
A. Jugular vein distension
B. Dependent edema in the ankles
C. Crackles in the lungs
D. Hepatomegaly
Answer: C
Rationale: Left-sided heart failure leads to pulmonary congestion (e.g., crackles) because
blood backs up into the lungs. Jugular vein distension and hepatomegaly more commonly
indicate right-sided failure; dependent edema also fits right-sided or general failure.
2. A nurse is caring for a client receiving Enoxaparin (Lovenox). What is the most
important lab value to monitor?
A. Hemoglobin
B. Platelet count
C. White blood cell count
D. aPTT
1
Page
EXAMPREPMASTER
, Answer: B
Rationale: Although enoxaparin affects coagulation, the priority is platelet count because
of risk for heparin-induced thrombocytopenia (HIT). aPTT is less relevant because
LMWHs (like enoxaparin) have a more predictable effect and usually don’t require
routine aPTT monitoring.
3. A client is about to have a femoral arterial cardiac catheterization. Which nursing
intervention should the nurse plan for after the procedure?
A. Have the client sit upright within 1 hour
B. Keep the client’s hip & leg extended straight for prescribed time
C. Ambulate the client as soon as possible
D. Check pulses every 4 hours
Answer: B
Rationale: After femoral access, the leg should remain straight (flat) to prevent
bleeding/hematoma from the insertion site. Sitting upright or early ambulation increases
risk. Pulses should be checked frequently (often every 15-30 minutes initially) rather than
every 4 hours.
4. A client has a diagnosis of Cor Pulmonale. The nurse reviews the health history. Which
condition likely contributed to this diagnosis?
A. Aortic stenosis
B. Chronic obstructive pulmonary disease (COPD)
C. Mitral regurgitation
D. Pericarditis
Answer: B
Rationale: Cor pulmonale is right-ventricular failure due to pulmonary hypertension
often caused by chronic lung disease (like COPD). The other options more often affect
left-heart or valvular function.
5. A client arrives with chest pain unrelieved by rest or nitroglycerin and lasting over 30
minutes. The nurse recognises this as likely:
A. Stable angina
B. Variant (Prinzmetal) angina
C. Myocardial infarction (MI)
D. Unstable angina
2
Answer: C
Page
Rationale: Unrelieved chest pain lasting >30 minutes despite medications is
EXAMPREPMASTER
