ATI RN
ATI RN Custom 2023 Med-Surg Cardiovascular Questions
Question 1 of 5
A nurse is teaching a client with a new atrial fibrillation diagnosis on worsening signs and symptoms. The nurse should instruct the client to monitor for which of the following complications?
Correct Answer: B
Rationale: Slurred speech could indicate a stroke, a potential complication of atrial fibrillation due to thromboembolism from atrial stasis.
Question 2 of 5
A client comes to the emergency department with reports of three days of watery stools and emesis × 6 in the past hour. Upon assessment, the nurse notes vital signs are B/P 130/92 mmHg, heart rate 130 bpm, respiratory rate 18 bpm, and oxygen saturation of 98% in room air. The nurse puts the client on the cardiac monitor. What does the nurse anticipate will be the prescription by the medical provider?
Correct Answer: B
Rationale: The client shows signs of dehydration (tachycardia, vomiting, diarrhea), so an IV sodium chloride bolus is anticipated to restore fluid volume.
Question 3 of 5
A client has with Angina has been ordered to take sublingual NTG tablets. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Sublingual nitroglycerin (NTG) should be placed under the tongue while sitting or lying to enhance absorption and reduce risk of dizziness from vasodilation, taken at the onset of chest pain.
Question 4 of 5
A client is experiencing atrial fibrillation for 2 weeks and did not respond to medication therapy. The client is scheduled for an elective (outpatient) cardioversion. Which other procedure or test does the nurse anticipate this client will need?
Correct Answer: B
Rationale: A transesophageal echocardiogram is needed before cardioversion in prolonged atrial fibrillation to rule out atrial thrombi, which could embolize during the procedure.
Question 5 of 5
A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?
Correct Answer: C
Rationale: Regular insulin dosing requires clarification on timing and frequency (e.g., how many meals), as vague orders can lead to administration errors.