ATI Exam III Practice Questions

A nurse is assessing a client who has late-stage heart failure and is experiencing fluid volume overload. Which of the following findings should the nurse expect? a. Weight gain of 1 kg in 1 day b. Pitting edema +1 c. Client report of nocturnal cough d. B-type BNP level of 100pg/mL

A

A nurse is teaching a client who has pernicious anemia. The nurse should encourage the client to increase consumption of which of the following foods? a. Eggs b. Squash c. Kale d. Tofu

A Eat foods high in vitamin B12 such as diary products, animal protein, poultry, shellfish, and eggs

A nurse is assessing a client who has fluid volume overload from a cardiovascular disorder. Which of the following manifestations should the nurse expect? a. Jugular vein distention b. Moist crackles c. Postural hypotension d. Decreased heart rate e. Fever

A, B, D

A nurse is teaching a client who has coronary artery disease about the difference between angina pectoris and myocardial infarction. Which of the following manifestations should the nurse identify as indications of MI? a. Nausea and vomiting b. Diaphoresis and dizziness c. Chest and left arm pain that subsides with rest d. Anxiety and feelings of doom

A, B, D

What age-related cardiovascular changes should the nurse assess for when providing care to an older adult patient? a. Systolic murmur b. Diminished pedal pulses c. Increased maximal heart rate d. Decreased maximal heart rate e. Increased recovery time from activity

A, B, D, E

A nurse is caring for a client who has severely elevated blood pressure. Which of the following findings should the nurse identify as a manifestation of hypertension? a. Vertigo b. Epistaxis (nosebleed) c. Exophthalmos d. Spondylolisthesis

B

A nurse is monitoring the electrocardiogram of a client who has hypocalcemia. Which of the following findings should the nurse expect? a. Flattened T waves b. Prolonged QT intervals c. Shortened QT intervals d. Widened QT intervals

B

The patient tells the nurse that he does not understand how there can be a blockage in the left anterior descending artery, but there is damage to the right ventricle. What is the best response by the nurse? a. One coronary vessels curves around and supplies the entire heart muscle b. The LAD supplies blood to the left side of the heart and part of the right ventricle c. The right ventricle is supplied during systole primarily by the right coronary artery d. It is actually on the right side of the heart, but we call it the left anterior descending vessel

B

A nurse is assessing a client who has PVD and a venous ulcer on the right ankle. Which of the following findings should the nurse expect in the client's affected extremity? a. Absent pedal pulses b. Ankle swelling c. Hair loss d. Skin atrophy

B The rest are findings for PAD

A nurse in a provider's office is reviewing the medical records of a group of clients. Which of the following clients is at risk for iron deficiency?a. A client who is postmenopausal b. A client who is a vegetarian c. A middle adult male client d. A client who is pregnant e. A toddler who is overweight

B, D, E

A client who has thrombocytopenia asks the nurse why platelets are so important. Which of the following responses should the nurse make? a. Platelets help the body fight infection b. Platelets help break down clots in the body c. Platelets plug breaks in blood vessels d. Platelets produce the molecules that carry oxygen

C

A nurse is assessing a client who had coronary artery bypass grafts for cardiac tamponade. Which of the following actions should the nurse take? a. Check for hypertension b. Auscultate for loud, bounding heart sounds c. Auscultate blood pressure for pulses paradoxus d. Check for a pulse deficit

C

A nurse is assessing a client who has pernicious anemia. Which of the following findings should the nurse expect? a. Thick, white coating on the client's tongue b. Decreased pulse rate c. Paresthesias in the hands and feet d. Joint pain in the extremities

C

Which aspect of the heart's action does the QRS complex on the ECG represent? a. Depolarization of the atria b. Depolarization of the ventricles c. Depolarization from the AV nodes throughout ventricles d. The length of time it takes for the impulse to travel from the atria to the ventricles

C

A nurse is assessing a client who is receiving a unit of whole blood. Which of the following findings should the nurse identify as a manifestation of a hemolytic transfusion reaction? a. Bradycardia b. Paresthesia c. Hypertension d. Low back pain

D

A nurse is showing a client who has right-sided heart failure an illustration of the heart. Which of the following blood vessels carries deoxygenated blood to the right atrium? a. Right coronary artery b. Left carotid artery c. Aorta d. Superior vena cava

D

Which anatomic feature of the heart directly stimulates ventricular contractions? a. SA node b. AV node c. Bundle of His d. Purkinje fibers

D

The nurse is assessing a client for manifestations of aplastic anemia. Which of the following findings should the nurse expect? a. Plethoric appearance of facial skin b. Glossitis and weight loss c. Jaundice with an enlarged liver d. Petechiae and ecchymosis

D Aplastic anemia: decreased in RBC, WBC, and PLTS "pancytopenia"