Cardiac ATI Exam fully solved & updated (latest
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Terms in this set (94)
A nurse is assessing clients b. A 50-year-old who is post coronary artery bypass
on a medical-surgical unit. graft surgery
Which client should the
nurse identify as being at Atrial fibrillation occurs commonly in clients with
greatest risk for atrial cardiac disease and is a common occurrence after
fibrillation? coronary artery bypass graft surgery. The other
a. A 45-year-old who conditions do not place these clients at higher risk for
takes an aspirin daily atrial fibrillation.
b. A 50-year-old who is
post coronary artery
bypass graft surgery
c. A 78-year-old who had
a carotid endarterectomy
d. An 80-year-old with
chronic obstructive
pulmonary disease
,A nurse assesses a client b. Speech alterations
with atrial fibrillation.
Which manifestation Clients with atrial fibrillation are at risk for embolic
should alert the nurse to stroke. Evidence of embolic events includes changes
the possibility of a serious in mentation, speech, sensory function, and motor
complication from this function. Clients with atrial fibrillation often have a
condition? rapid ventricular response as a result. Fatigue is a
a. Sinus tachycardia nonspecific complaint. Clients with atrial fibrillation
b. Speech alterations often have dyspnea as a result of the decreased
c. Fatigue cardiac output caused by the rhythm disturbance.
d. Dyspnea with activity
A nurse evaluates b. Warfarin (Coumadin)
prescriptions for a client
with chronic atrial
fibrillation. Which Atrial fibrillation puts clients at risk for developing
medication should the emboli. Clients at risk for emboli are treated with
nurse expect to find on anticoagulants, such as heparin, enoxaparin, or
this clients medication warfarin. Sotalol, atropine, and lidocaine are not
administration record to appropriate for this complication.
prevent a common
complication of this
condition?
a. Sotalol (Betapace)
b. Warfarin (Coumadin)
c. Atropine (Sal-Tropine)
d. Lidocaine (Xylocaine)
,A nurse administers c. Short period of asystole
prescribed adenosine
(Adenocard) to a client. Clients usually respond to adenosine with a short
Which response should period of asystole, bradycardia, hypotension,
the nurse assess for as the dyspnea, and chest pain. Adenosine has no
expected therapeutic conclusive impact on intraocular pressure.
response?
a. Decreased intraocular
pressure
b. Increased heart rate
c. Short period of asystole
d. Hypertensive crisis
A telemetry nurse c. Level of consciousness
assesses a client with
third-degree heart block
who has wide QRS A heart rate of 40 beats/min or less with widened
complexes and a heart QRS complexes could have hemodynamic
rate of 35 beats/min on consequences. The client is at risk for inadequate
the cardiac monitor. Which cerebral perfusion. The nurse should assess for level
assessment should the of consciousness, light- headedness, confusion,
nurse complete next? syncope, and seizure activity. Although the other
a. Pulmonary auscultation assessments should be completed, the clients level of
b. Pulse strength and consciousness is the priority.
amplitude
c. Level of consciousness
d. Mobility and gait
stability
, A nurse prepares to d. Ensure that everyone is clear of contact with the
defibrillate a client who is client and the bed.
in ventricular fibrillation.
Which priority intervention
should the nurse perform To avoid injury, the rescuer commands that all
prior to defibrillating this personnel clear contact with the client or the bed and
client? ensures their compliance before delivery of the shock.
a. Make sure the A precordial thump can be delivered when no
defibrillator is set to the defibrillator is available. Defibrillation is done in
synchronous mode. asynchronous mode. Equipment should not be tested
b. Administer 1 mg of before a client is defibrillated because this is an
intravenous epinephrine. emergency procedure; equipment should be checked
c. Test the equipment by on a routine basis. Epinephrine should be
delivering a smaller shock administered after defibrillation.
at 100 joules.
d. Ensure that everyone is
clear of contact with the
client and the bed.
version verified for accuracy) | Latest!!
Save
Terms in this set (94)
A nurse is assessing clients b. A 50-year-old who is post coronary artery bypass
on a medical-surgical unit. graft surgery
Which client should the
nurse identify as being at Atrial fibrillation occurs commonly in clients with
greatest risk for atrial cardiac disease and is a common occurrence after
fibrillation? coronary artery bypass graft surgery. The other
a. A 45-year-old who conditions do not place these clients at higher risk for
takes an aspirin daily atrial fibrillation.
b. A 50-year-old who is
post coronary artery
bypass graft surgery
c. A 78-year-old who had
a carotid endarterectomy
d. An 80-year-old with
chronic obstructive
pulmonary disease
,A nurse assesses a client b. Speech alterations
with atrial fibrillation.
Which manifestation Clients with atrial fibrillation are at risk for embolic
should alert the nurse to stroke. Evidence of embolic events includes changes
the possibility of a serious in mentation, speech, sensory function, and motor
complication from this function. Clients with atrial fibrillation often have a
condition? rapid ventricular response as a result. Fatigue is a
a. Sinus tachycardia nonspecific complaint. Clients with atrial fibrillation
b. Speech alterations often have dyspnea as a result of the decreased
c. Fatigue cardiac output caused by the rhythm disturbance.
d. Dyspnea with activity
A nurse evaluates b. Warfarin (Coumadin)
prescriptions for a client
with chronic atrial
fibrillation. Which Atrial fibrillation puts clients at risk for developing
medication should the emboli. Clients at risk for emboli are treated with
nurse expect to find on anticoagulants, such as heparin, enoxaparin, or
this clients medication warfarin. Sotalol, atropine, and lidocaine are not
administration record to appropriate for this complication.
prevent a common
complication of this
condition?
a. Sotalol (Betapace)
b. Warfarin (Coumadin)
c. Atropine (Sal-Tropine)
d. Lidocaine (Xylocaine)
,A nurse administers c. Short period of asystole
prescribed adenosine
(Adenocard) to a client. Clients usually respond to adenosine with a short
Which response should period of asystole, bradycardia, hypotension,
the nurse assess for as the dyspnea, and chest pain. Adenosine has no
expected therapeutic conclusive impact on intraocular pressure.
response?
a. Decreased intraocular
pressure
b. Increased heart rate
c. Short period of asystole
d. Hypertensive crisis
A telemetry nurse c. Level of consciousness
assesses a client with
third-degree heart block
who has wide QRS A heart rate of 40 beats/min or less with widened
complexes and a heart QRS complexes could have hemodynamic
rate of 35 beats/min on consequences. The client is at risk for inadequate
the cardiac monitor. Which cerebral perfusion. The nurse should assess for level
assessment should the of consciousness, light- headedness, confusion,
nurse complete next? syncope, and seizure activity. Although the other
a. Pulmonary auscultation assessments should be completed, the clients level of
b. Pulse strength and consciousness is the priority.
amplitude
c. Level of consciousness
d. Mobility and gait
stability
, A nurse prepares to d. Ensure that everyone is clear of contact with the
defibrillate a client who is client and the bed.
in ventricular fibrillation.
Which priority intervention
should the nurse perform To avoid injury, the rescuer commands that all
prior to defibrillating this personnel clear contact with the client or the bed and
client? ensures their compliance before delivery of the shock.
a. Make sure the A precordial thump can be delivered when no
defibrillator is set to the defibrillator is available. Defibrillation is done in
synchronous mode. asynchronous mode. Equipment should not be tested
b. Administer 1 mg of before a client is defibrillated because this is an
intravenous epinephrine. emergency procedure; equipment should be checked
c. Test the equipment by on a routine basis. Epinephrine should be
delivering a smaller shock administered after defibrillation.
at 100 joules.
d. Ensure that everyone is
clear of contact with the
client and the bed.
