A patient is admitted to your acute coronary care unit with the diagnosis of ACS. The nurse has seen ECG changes that are indicative of an anterior wall infarction and is observing the patient for signs/symptoms of complications. The nurse has noted the following vital sign trends: 1100-HR 92, RR 24, BP 140/88, Cardiac rhythm NSR 1115-HR 96, RR 26, BP 128/82, Cardiac rhythm NSR 1130-HR 104, RR 28, BP 102/68, Cardiac rhythm ST 1145-HR 120, RR 32, BP 80/52, Cardiac rhythm ST with frequent PVC's The nurse should be alert for which of the following complications? Choose all that apply.
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ATI RN · Cardiovascular Test Bank
Question 2 of 42
Delegation Decision: The unit is very busy and short staffed. What could be delegated to the unlicensed assistive personnel (UAP)?
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Question 3 of 42
A client complains of crushing chest pain that radiates to his left arm. He should be presented with the following treatment:
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Question 4 of 42
In providing community education on prevention of peripheral arterial disease, the nurse is careful to include which of the following as a major risk factor?
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Question 5 of 42
Patient teaching that is specific for a person with Raynaud's disease should include:
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Question 6 of 42
While talking with senior citizens about CAD risk factors, it would be most helpful to
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Question 7 of 42
Which type of cuff does the nurse choose to ensure an accurate assessment?
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Question 8 of 42
A toddler requires supplemental oxygen therapy for a cyanotic heart defect. In planning for home care, the nurse would discuss which of the following with the parents?
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Question 9 of 42
The client is on hydrochlorothiazide and digoxin. What effect can the nurse expect?
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Question 10 of 42
The nurse is teaching the client about taking an ACE inhibitor. A typical side effect of an ACE inhibitor explained to the client is what?
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Question 11 of 42
In any acute cardiovascular problem, the essential goal is to
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Question 12 of 42
The client is experiencing a drug-drug reaction by taking aspirin with what other drug?
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Question 13 of 42
The nurse explains to the patient who is to undergo a coronary artery bypass graft that the procedure most often involves
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ATI RN · Cardiovascular Test Bank
Question 14 of 42
The client is on a statin medication. The nurse tells the client that the purpose of taking a statin drug is what?
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Question 15 of 42
A patient is scheduled for exercise nuclear imaging stress testing. The nurse explains to the patient that this test involves
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ATI RN · Cardiovascular Test Bank
Question 16 of 42
Why does the nurse administer non-narcotic analgesics to a client with thrombophlebitis?
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ATI RN · Cardiovascular Test Bank
Question 17 of 42
Collaborative care of the patient with NSTEMI differs from that of a patient with STEMI in that NSTEMI is more frequently initially treated with what?
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Question 18 of 42
A child is scheduled for echocardiography. The nurse is providing teaching to the child's mother. Which statement by the mother about echocardiography indicates the need for further teaching?
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Question 19 of 42
Which exercise would be most therapeutic for Mrs. T., who has peripheral vasodilatation?
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Question 20 of 42
Which of the following should the nurse monitor for clients with aneurysms to determine the signs of hemorrhage or dissection?
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Question 21 of 42
Which of the following is a nursing intervention to ensure that the client is free from injury caused by falls?
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Question 22 of 42
Diltiazem (Cardizem) is ordered for a patient with newly diagnosed Prinzmetal's (variant) angina. When teaching the patient, the nurse will include the information that diltiazem will
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Question 23 of 42
Which of the following vessels is often used for grafting?
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Question 24 of 42
Describe the pathophysiology of Acute Myocardial Infarction.
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Question 25 of 42
The client is taking a class IB anti-arrhythmic drug. What drug might that be?
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Question 26 of 42
The nurse prepares a patient for insertion of a pulmonary artery catheter. Preprocedural teaching for this client will include which of the following statements?
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ATI RN · Cardiovascular Test Bank
Question 27 of 42
When caring for a patient who is recovering from a sudden cardiac death (SCD) event and has no evidence of an acute myocardial infarction (AMI), the nurse will anticipate teaching the patient that
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Question 28 of 42
Medical management of patient with TB (DOTS).
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Question 29 of 42
A patient is admitted to the hospital for a carotid angiogram with stent placement. The patient's spouse states, 'I don't want my spouse to find out there is a risk of a stroke connected with this procedure because they won't sign the consent form.' The cardiac-vascular nurse's most appropriate action is to:
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Question 30 of 42
The client is on a cardio-selective beta blocker. Why might this be ordered?
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Question 31 of 42
In preparing George Gates for a cardiac catheterization, you would
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ATI RN · Cardiovascular Test Bank
Question 32 of 42
Which of the following does Mr. Brown need to understand regarding coronary bypass surgery?
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ATI RN · Cardiovascular Test Bank
Question 33 of 42
At 10:00 am, a patient receives a new order for transesophageal echocardiography (TEE) as soon as possible. Which action will you take first?
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Question 34 of 42
The client is being fitted for a Holter Monitor. What does the nurse tell the client in preparation for the test?
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ATI RN · Cardiovascular Test Bank
Question 35 of 42
A client comes to the clinic and states he has a history of hypertension. Which type of medication might the nurse expect the client to be taking to control his blood pressure?
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ATI RN · Cardiovascular Test Bank
Question 36 of 42
The registered nurse has finished reviewing the 7:00 a.m shift report on a telemetry unit. Which of the following clients would be the best for the RN to assign to the licensed practical nurse?
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Question 37 of 42
A nurse is assessing a client who may be in the early stages of dehydration. Early manifestations of dehydration include:
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ATI RN · Cardiovascular Test Bank
Question 38 of 42
The client has a resting heart rate of 80 and a regular rhythm. What is the likely source of electrical activity in this client?
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ATI RN · Cardiovascular Test Bank
Question 39 of 42
When caring for a patient with acute coronary syndrome who has returned to the coronary care unit after having angioplasty with stent placement, the nurse obtains the following assessment data. Which data indicate the need for immediate action by the nurse?
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ATI RN · Cardiovascular Test Bank
Question 40 of 42
Priority nursing interventions when a client is on heparin include the following:
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Question 41 of 42
Which effects contribute to making nitrates the first-line therapy for the treatment of angina (select one that doesn't apply?
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ATI RN · Cardiovascular Test Bank
Question 42 of 42
The client has a heart rate of 70 and a P wave that comes early and is malformed. What is the likely cause of this?
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