ATI RN
ATI RN Custom 2023 Med-Surg Cardiovascular Questions
Extract:
Question 1 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 2 of 5
A patient on the telemetry unit develops atrial flutter with a heart rate of 150, respirations 26, b/p 118/64 and a O2 saturation of 90% while sitting down. Which action should the nurse do FIRST?
Correct Answer: D
Rationale: With an O2 saturation of 90%, the priority is to address hypoxia by administering supplemental oxygen first to improve oxygenation.
Question 3 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 4 of 5
The nurse on the unit hears an alarm sound in the client's room. Arriving in the room, the client is unresponsive, pulseless and the nurse sees the flat rhythm on the monitor. What is the FIRST action by the nurse?
Correct Answer: C
Rationale: A flat rhythm (asystole) requires immediate CPR as the first action to restore circulation, as defibrillation is not indicated for asystole.
Question 5 of 5
A client with Sinus tachycardia has been admitted into the telemetry unit. The nurse identifies the following as possible causes of sinus tachycardia. Select all that apply
Correct Answer: A,C,E
Rationale: Fever, albuterol (a beta-agonist), and dehydration can increase heart rate, causing sinus tachycardia, while lisinopril and sleeping typically do not.