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 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 3 of 5
Which of the following medications does the nurse anticipate being ordered for a client admitted with the following tachycardic rhythm and complaints of palpitations and dizziness?
Correct Answer: C
Rationale: Metoprolol IV is commonly used to control ventricular rate in tachycardic rhythms like atrial fibrillation or flutter, addressing symptoms like palpitations and dizziness.
Question 4 of 5
The charge nurse is making assignments for clients on a cardiac unit. Which client should the charge nurse assign to a new graduate nurse?
Correct Answer: C
Rationale: A stable client scheduled for a procedure with teaching needs is appropriate for a new graduate, as it involves less acute management compared to MI, chest pain, or unstable angina.
Question 5 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.