ATI RN
ATI Advanced Med Surg Exam 3 Questions
Question 1 of 5
A patient admitted with urosepsis and alcohol abuse had three seconds of PVCS and returns to sinus tachycardia. The patient's baseline heart rate is 116/min with a temperature of 101.1F, respirations of 22/min and blood pressure is 114/64. What should the nurse anticipate to do first?
Correct Answer: D
Rationale: Assessing level of consciousness is the priority to detect neurological deterioration in urosepsis, guiding further interventions.
Question 2 of 5
Which of the following factors can directly affect cardiac output?
Correct Answer: B,C
Rationale: Stroke volume and heart rate directly determine cardiac output, as cardiac output equals stroke volume multiplied by heart rate.
Question 3 of 5
A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?
Correct Answer: C
Rationale: Atrial fibrillation causes an irregularly irregular heart rhythm, leading to palpitations, fatigue, dizziness, and a pulse deficit due to inconsistent ventricular contractions.
Question 4 of 5
A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?
Correct Answer: D
Rationale: A pulse deficit between apical and radial pulses indicates irregular ventricular contractions typical of atrial fibrillation.
Question 5 of 5
A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Tachycardia (e.g., 160/min) is a compensatory mechanism in shock to maintain cardiac output and perfusion.