ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Question 1 of 5
An older adult client with a history of heart failure is admitted to the hospital due to confusion, vision disturbance and anorexia for several days. The client has a pulse rate of 53 bpm, b/p of 116/68, respirations 16 and saturation of 97%. Which of the following medications does the nurse suspect could be causing the client's symptoms?
Correct Answer: A
Rationale: Confusion, vision disturbances, and anorexia are classic signs of digoxin toxicity, especially with bradycardia and a narrow therapeutic index.
Question 2 of 5
A nursing student is looking at a telemetry screen with multiple rhythms. The unit is a step-down cardiac unit with delicate patients. Patients on Census The unit has the following clients: 82 yrs old male with Atrial flutter next step in treatment is electrical management, 65 yrs old female with SVT not responding to medication, 78 yrs old female with symptomatic bradycardia not responding to medication, 80 yrs old male with Ventricular fibrillation being coded, 69 yrs old female has a faint pulse on the cardiac monitor - the rhythm is Ventricular Tachycardia. For each dysrhythmia listed, please select the correct electricity to be used to manage the dysrhythmias.
| Options | Transcutaneous Pacing | Defibrillation | Synchronized cardioversion |
|---|---|---|---|
| Unstable Supraventricular Tachycardia: Synchronized Cardioversion | |||
| Unstable Bradycardia: Transcutaneous Pacing | |||
| Ventricular Fibrillation: Defibrillation | |||
| Ventricular Tachycardia with No Pulse: Defibrillation | |||
| Unstable Atrial Flutter: Synchronized Cardioversion |
Correct Answer: A,B,C,D,E
Rationale: Unstable SVT and atrial flutter require synchronized cardioversion; bradycardia needs pacing; ventricular fibrillation and pulseless VT require defibrillation.
Question 3 of 5
A client with Parkinson's disease is prescribed carbidopa-levadopa [Sinemet]. Which of the following side effects does the nurse recognize can occur with this medication?
Correct Answer: D
Rationale: Orthostatic hypotension is a well-recognized and common side effect of carbidopa-levodopa. This occurs because Sinemet affects the autonomic nervous system, which can cause a decrease in blood pressure when moving from a sitting or lying position to standing. Patients on carbidopa-levodopa should be advised to rise slowly to minimize the risk of dizziness or fainting due to orthostatic hypotension.
Question 4 of 5
COPD patient's chart - Nurse's Note (0800) 84-year-old male client with a chronic obstructive pulmonary disease (emphysema) history is admitted to the inpatient Med surge unit provider today. Upon admission, the client reports unusual increased shortness of breath and fatigue. The client is on 1 liter of oxygen via a nasal cannula; 02 saturation is 93%. The client's respiratory rate is 30 bpm with accessory muscle use, heart rate is 125 bpm, and blood pressure is 127/89 mmHg. The client has a barrel chest and extremities. On call provided paged, pending call back. Identify listed assessment findings as expected or findings that need to be reported to the provider.
| Options | Expected Findings | Findings to be reported to provider |
|---|---|---|
| Barrel chest: Expected Finding | ||
| Increased fatigue: Finding to be reported to the provider | ||
| Respiratory rate 40 bpm: Finding to be reported to the provider | ||
| Thin appearance: Expected Finding |
Correct Answer: A,B,C,D
Rationale: Barrel chest and thin appearance are expected in COPD; increased fatigue and tachypnea (40 bpm) indicate exacerbation, requiring reporting.
Question 5 of 5
A nurse is teaching a class at a community center to a group of young adult, adult, and older adult clients regarding regular screening recommendations for cancer prevention. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Annual mammograms starting at age 40 are recommended for average-risk women to detect breast cancer early, per ACS guidelines.