ATI MED SURG PROCTORED EXAM 2023-2024 ACTUAL
EXAM TEST BANK ALL SECTIONS QUESTIONS AND
CORRECT ANSWERS|AGRADE
Cardiovascular System
- A nurse in an emergency department is caring for a client who has a
blood pressure of 254/139 mmHg. The nurse recognizes that the client is
in a hypertensive crisis. Which of the following actions should the nurse
take first?
o Initiate seizure precautions
o Tell the client to report vision changes
o Elevate the head of the client’s bed.
o Start a peripheral IV- A nurse is assessing a client who has a history of deep-vein thrombosis
and is receiving warfarin. The nurse should identify that which of the
following indicates the medication is effective?
o Hemoglobin 14 g/dL
o Minimal bruising of extremities
o Decreased blood pressure
o INR 2.0- A nurse is providing discharge teaching for a client who has a
prescription for the transdermal nitroglycerin patch. Which of the
following instructions should the nurse include in the teaching?
o Apply the new patch to the same site as the previous patch
o Place the patch-on an area of skin away from the skin folds and
joints.
o Keep the patch on 24 hr per day
o Replace the patch at the onset of angina.- A nurse is assessing a client who has left-sided heart failure. Which of the
following manifestations should the nurse expect to find?
o Increased abdominal girth
o Weak peripheral pulses
o Jugular venous neck distention
o Dependent edema- A nurse in an emergency department is caring for a client who had an
anterior myocardial infarction. The client’s history reveals she is 1 week
postoperative following an open cholecystectomy. The nurse should
recognize that which of the following interventions is contraindicated?
o Administering IV morphine sulfate
o Administering oxygen at 2 L/min via nasal cannula
o Helping the client to the bedside commode
o Assisting with thrombolytic therapy
- A nurse is caring for a client who was admitted for treatment of left-sided
heart failure with intravenous loop diuretics and digitalis therapy. The
client is experiencing weakness and an irregular heart rate. Which of the
following actions should the nurse take first?
o Obtain client’s current weight
o Review serum electrolyte values
o Determine the time of the last digoxin dose
o Check the client’s urine output - A nurse is reviewing the ECG rhythm strip of a client who is receiving
telemetry. Which of the following areas of the strip should the nurse
examine to observe for atrial depolarization?
o
o A
o B
o C - A nurse is caring for a client who is receiving heparin therapy and
develops hematuria. Which of the following actions should the nurse take
if the client’s aPTT is 96 seconds?
o Increase the heparin infusion flow rate by 2 mL/hr
o Continue to monitor the heparin infusion as prescribed
o Request a prothrombin time (PT)
o Stop the heparin infusion - A nurse is assessing a client who has dilated cardiomyopathy. Which of
the following findings should the nurse expect?
o Dyspnea on exertion
o Tracheal deviation
o Pericardial rub
o Weight loss - A nurse is caring for a client who is being treated for heart failure and has
a prescription for furosemide. The nurse should plan to monitor for which
of the following as an adverse effect of this medication?
o Shortness of Breath
o Lightheadedness
o Dry cough
o Metallic taste - A nurse is monitoring a client’s ECG monitor and notes the client’s
rhythm has changed from normal sinus rhythm to supraventricular
tachycardia.
o Delivery of a precordial thump
o Vagal stimulation
o Administration of atropine IV
o Defibrillation - A nurse is providing discharge for a client who has heart failure. The
nurse should instruct the client to report which of the following findings
immediately to the provider?
o Weight gain of 0.9 kg (2 lb) in 24 hr
o Increase of 10 mmHg in systolic blood pressure
o Dyspnea with exertion
o Dizziness when rising quickly - A nurse in an emergency room is assessing a client who has a
bradydysrhythmia. Which of the following findings should the nurse
monitor for?
o Confusion
o Friction rub
o Hypertension
o Dry skin - A nurse is caring for a client who has a history of angina and is scheduled
for exercise electrocardiography at 1100. Which of the following
statements by the client requires the nurse to contact the provider for
possible rescheduling?
o “I’m still hungry after the bowl of cereal I ate at 7 A.M.”
o “I didn’t take my heart pills this morning because the doctor told
me not to.”
o “I have had chest pain a couple of times since I saw my doctor in
the office last week.”
o “I smoked a cigarette this morning to calm my nerves about having
this procedure.”