MED-SURG ATI PN EXAM QUESTIONS
WITH CORRECT ANSWERS
Prothrombin time.
FFP plasma rich in clotting factors, acute disorders. Decreased is ideal. - Answer-what
laboratory result should be repeated after administering fresh frozen plasma (FFP)?
- pink frothy sputum
- pulmonary congestion (dyspnea, cough, bibasilar crackles)
- S3 heart sound (gallop)
- Displaced apical pulse (hypertrophy)
- fatigue
- dyspnea, orthopnea (SOB while lying down), nocturnal dyspnea. - Answer-A client
who had a myocardial infarction 5 days is more at risk for left-sided heart failure. What
signs and symptoms would the nurse expect to look for?
1 mL - Answer-20 gtts (drops) is how many mL?
unstable angina - Answer-chest pain with exercise or even while resting lasting longer
than 15 minutes. Increases in occurrence, severity and duration over time. Minimal, to
no relief with nitroglycerin. is what type of angina?
Stable (exertional) angina - Answer-occurs with exercise or emotional stress and is
relieved by rest or nitroglycerin.
Variant (Prinzmetal's) Angina - Answer-chest pain due to a coronary artery spasm, often
occurring during periods of rest is what kind of angina?
Peripheral arterial disease - Answer-A pt with:
- burning, cramping, and pain in legs during exercise
- numbness or burning pain in the feet when in bed.
- pain relieved by placing legs at rest in dependent position.
- decreased cap refil
- decreased/nonpalpable pulses
- loss of hair mid calf and down.
- dry, shiny, mottled skin
-pallor with elevation
- muscle atrophy
is indicative of what?
pericarditis - Answer-these s/s make you think of what inflammatory disorder?
,- dyspnea
- hiccups
- nonproductive cough
- tachycardia
- inspiration causes chest pain
- chest pain relieved when sitting and leaning forward.
Ventricular dysrhythmias - Answer-First 24 hours after a MI a pt is at risk for which
complication?
B12 injections. Weekly during diagnosis, and then decreased to monthly. - Answer-A pt
with pernicious anemia should be recommend what interventions?
Auscultate blood pressure for pulsus paradoxus (variance of 10 mm Hg or more in
systolic BP between expiration and inspiration.)
Monitoring for hypotension, muffled heart sounds, and JVD. - Answer-A nurse is
checking for a cardiac tamponade on a client who has pericarditis. What should the
nurse be looking for?
Weight gain of 1kg a day, pitting edema +3, BNP level above 100 pg/mL. - Answer-A pt
who has late-stage heart failure is experiencing fluid volume overload. Which of the
following findings should the nurse expect to see?
Red Blood Cells - Answer-- verifying information on unit and pt identifiers
- infuse over 4 hours
- infuse through an 18 gauge IV
- start transfusion within 30 minutes
are nursing actions for what transfusion of blood products?
Fresh Frozen Plasma (FFP) - Answer-- transfused as soon as thawed, while clotting is
still active
- must match ABO
- 200 mL should be infused rapidly over 30-60 minutes
are nursing interventions for what type of transfusion?
Platelets - Answer-- do not need to match client blood type
- must be infused once brought into room, given over 15-30 min using special
transfusion set with a small filter and short tubing.
- vital signs taken before, 15 min after start, and after completion.
Abdominal Aortic Aneurysm (AAA) - Answer-- constant gnawing feeling in abdomen
- low back pain
- pulsating abdominal mass
- bruit over the area of the aneurysm
, - elevated BP
are all symptoms of what diagnosis?
- elevating legs above heart.
- wearing compression stockings for up to 1 week after surgery.
- Client should ambulate 5-10 min q 1 hr while awake. - Answer-Postoperative vein
ligation and stripping nursing actions include what?
right sided heart failure - Answer-- JVD
- ascending dependent edema (legs, ankles, sacrum)
-abdominal distention, ascites
- fatigue, weakness
- nausea, anorexia
- polyuria
- liver enlargement and tenderness
- weight gain
are all s/s of what heart condition?
Troponin T: less than 0.1 ng/mL
Troponin I: less than 0.03 ng/mL - Answer-What are the expected Troponin ranges?
less than 200 mg/dL - Answer-What are the expected ranges for cholesterol while
screening for heart disease?
Less than 130 mg/dL of "bad" cholesterol. - Answer-What are the ranges for LDL
cholesterol levels?
Males: greater than 55 mg/dL
Females: greater than 45 mg/dL
"Good" cholesterol. - Answer-What are the ranges for HDL cholesterol levels?
Cardiomyopathy, heart failure, angina, MI. - Answer-What are indications for a
Transthoracic Echocardiography?
Pre: noninvasive test and takes up to an hour.
Intra: lie supine, remain still, may roll to left side or hold their breath.
Post: provider reviews test and plans follow up care. - Answer-What are considerations
for Transthoracic Echocardiography?
- heart failure
- valvular heart disease
- atrial or ventricular thrombi
- monitoring during valve replacement and CABG surgeries - Answer-What are
indications for Transesophageal Echocardiography?
WITH CORRECT ANSWERS
Prothrombin time.
FFP plasma rich in clotting factors, acute disorders. Decreased is ideal. - Answer-what
laboratory result should be repeated after administering fresh frozen plasma (FFP)?
- pink frothy sputum
- pulmonary congestion (dyspnea, cough, bibasilar crackles)
- S3 heart sound (gallop)
- Displaced apical pulse (hypertrophy)
- fatigue
- dyspnea, orthopnea (SOB while lying down), nocturnal dyspnea. - Answer-A client
who had a myocardial infarction 5 days is more at risk for left-sided heart failure. What
signs and symptoms would the nurse expect to look for?
1 mL - Answer-20 gtts (drops) is how many mL?
unstable angina - Answer-chest pain with exercise or even while resting lasting longer
than 15 minutes. Increases in occurrence, severity and duration over time. Minimal, to
no relief with nitroglycerin. is what type of angina?
Stable (exertional) angina - Answer-occurs with exercise or emotional stress and is
relieved by rest or nitroglycerin.
Variant (Prinzmetal's) Angina - Answer-chest pain due to a coronary artery spasm, often
occurring during periods of rest is what kind of angina?
Peripheral arterial disease - Answer-A pt with:
- burning, cramping, and pain in legs during exercise
- numbness or burning pain in the feet when in bed.
- pain relieved by placing legs at rest in dependent position.
- decreased cap refil
- decreased/nonpalpable pulses
- loss of hair mid calf and down.
- dry, shiny, mottled skin
-pallor with elevation
- muscle atrophy
is indicative of what?
pericarditis - Answer-these s/s make you think of what inflammatory disorder?
,- dyspnea
- hiccups
- nonproductive cough
- tachycardia
- inspiration causes chest pain
- chest pain relieved when sitting and leaning forward.
Ventricular dysrhythmias - Answer-First 24 hours after a MI a pt is at risk for which
complication?
B12 injections. Weekly during diagnosis, and then decreased to monthly. - Answer-A pt
with pernicious anemia should be recommend what interventions?
Auscultate blood pressure for pulsus paradoxus (variance of 10 mm Hg or more in
systolic BP between expiration and inspiration.)
Monitoring for hypotension, muffled heart sounds, and JVD. - Answer-A nurse is
checking for a cardiac tamponade on a client who has pericarditis. What should the
nurse be looking for?
Weight gain of 1kg a day, pitting edema +3, BNP level above 100 pg/mL. - Answer-A pt
who has late-stage heart failure is experiencing fluid volume overload. Which of the
following findings should the nurse expect to see?
Red Blood Cells - Answer-- verifying information on unit and pt identifiers
- infuse over 4 hours
- infuse through an 18 gauge IV
- start transfusion within 30 minutes
are nursing actions for what transfusion of blood products?
Fresh Frozen Plasma (FFP) - Answer-- transfused as soon as thawed, while clotting is
still active
- must match ABO
- 200 mL should be infused rapidly over 30-60 minutes
are nursing interventions for what type of transfusion?
Platelets - Answer-- do not need to match client blood type
- must be infused once brought into room, given over 15-30 min using special
transfusion set with a small filter and short tubing.
- vital signs taken before, 15 min after start, and after completion.
Abdominal Aortic Aneurysm (AAA) - Answer-- constant gnawing feeling in abdomen
- low back pain
- pulsating abdominal mass
- bruit over the area of the aneurysm
, - elevated BP
are all symptoms of what diagnosis?
- elevating legs above heart.
- wearing compression stockings for up to 1 week after surgery.
- Client should ambulate 5-10 min q 1 hr while awake. - Answer-Postoperative vein
ligation and stripping nursing actions include what?
right sided heart failure - Answer-- JVD
- ascending dependent edema (legs, ankles, sacrum)
-abdominal distention, ascites
- fatigue, weakness
- nausea, anorexia
- polyuria
- liver enlargement and tenderness
- weight gain
are all s/s of what heart condition?
Troponin T: less than 0.1 ng/mL
Troponin I: less than 0.03 ng/mL - Answer-What are the expected Troponin ranges?
less than 200 mg/dL - Answer-What are the expected ranges for cholesterol while
screening for heart disease?
Less than 130 mg/dL of "bad" cholesterol. - Answer-What are the ranges for LDL
cholesterol levels?
Males: greater than 55 mg/dL
Females: greater than 45 mg/dL
"Good" cholesterol. - Answer-What are the ranges for HDL cholesterol levels?
Cardiomyopathy, heart failure, angina, MI. - Answer-What are indications for a
Transthoracic Echocardiography?
Pre: noninvasive test and takes up to an hour.
Intra: lie supine, remain still, may roll to left side or hold their breath.
Post: provider reviews test and plans follow up care. - Answer-What are considerations
for Transthoracic Echocardiography?
- heart failure
- valvular heart disease
- atrial or ventricular thrombi
- monitoring during valve replacement and CABG surgeries - Answer-What are
indications for Transesophageal Echocardiography?
