ATI RN

1. A patient is considering op4ons to manage his/her coronary artery disease. The nurse explains a coronary artery bypass graH procedure will:

• A. Cure the pa4ent9s coronary artery disease.
• B. Replace the leaking valve in the heart.
• C. Connect graHs to aorta to improve blood
• D. Place a permeant pacemaker on the heart muscle.

Correct Answer: Connect graHs to aorta to improve blood

Rationale:

2. The nurse is caring for a patient post coronary artery bypass graH procedure who is on a nitroglycerin intravenous drip. The nurse understands the importance of nitroglycerin with this procedure as:

• A. Decreasing myocardial oxygen supply
• B. Increasing preload.
• C. Decreasing cardiac output.
• D. Decreasing aHerload.

Correct Answer: Decreasing aHerload.

Rationale:

3. The nurse is caring for a patient post coronary artery bypass graH who rates his/her pain as an 8 out 10 on the subjec4ve pain scale. Does the nurse choose to administer morphine sulfate intravenously as it has benefits to cardiac patients (select one that does not apply)?

• A. Decreasing myocardial oxygen supply
• B. Decreasing myocardial oxygen consumption
• C. Decreasing heart rate
• D. Increasing blood pressure

Correct Answer: Increasing blood pressure

Rationale:

4. The nurse is educating a patient who is discharged from the hospital after having cardiac surgery one week ago. The nurse recognizes the patient understands medication management when he/she states:

• A. I need to take my Lisinopril daily to reduce my risk of heart failure
• B. I only need to take the metoprolol when I feel my heart skip a beat
• C. I should carry my nitroglycerin pills in my pocket at all 4mes
• D. I should only take the pain pills when my pain is really bad.

Correct Answer: I need to take my Lisinopril daily to reduce my risk of heart failure

Rationale:

5. The nurse is caring for pa4ent in the cardiac unit recovering from a cardiac bypass graH procedure. The pa4ent9s spouse comes out to the hallway and expresses concern of the pa4ent9s confusion since surgery was 3 days ago. An appropriate response by the nurse would be:

• A. <Let me call the doctor right away.
• B. What specific concerns do you have
• C. < It is common for confusion to occur after this procedure
• D. < I'll have the counselor come meet you in the room.

Correct Answer: < It is common for confusion to occur after this procedure

Rationale: