ATI RN
ATI RN Custom 2023 Med-Surg Cardiovascular Questions
Extract:
Question 1 of 5
A client has developed atrial fibrillation with a ventricular rate of 148 beats per minute. Which assessment findings does the nurse expect to find in this client? Select all that apply
Correct Answer: A,B,D,E
Rationale: Rapid atrial fibrillation can reduce cardiac output, leading to shortness of breath, hypotension, chest pain, and dizziness due to inadequate perfusion.
Question 2 of 5
A nurse is teaching a client with angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?
Correct Answer: A
Rationale: Nitroglycerin is administered sublingually for rapid absorption to relieve chest pain. The standard instruction is to take one tablet every 5 minutes up to 3 doses if chest pain persists, then seek medical help if unrelieved.
Question 3 of 5
A client on the cardiac telemetry unit goes into Ventricular fibrillation and is unresponsive. Following initiation of the emergency call system (code blue), what is the next priority for the nurse in caring for the client?
Correct Answer: B
Rationale: Ventricular fibrillation is a lethal arrhythmia requiring immediate defibrillation to restore a viable rhythm, making it the next priority after activating the emergency system.
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 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.