ATI RN Custom 2023 Med-Surg Cardiovascular | Nurselytic

Questions 25

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ATI RN Custom 2023 Med-Surg Cardiovascular Questions

Extract:


Question 1 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 2 of 5

A nurse is caring for a client that is post cardiopulmonary arrest. The nurse anticipates to administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?

Correct Answer: B

Rationale: Atropine is the first-line medication for symptomatic bradycardia as it increases heart rate by blocking vagal activity on the SA node.

Question 3 of 5

A client with a complaint of dehydration has been admitted into the medical floor. Sodium chloride 1000 ml IV to infuse over 12 hrs has been ordered by the admitting Physician. How many ml/hr should you administer? (Round to the nearest whole number) ml/hr

Correct Answer: 83

Rationale:
To calculate the infusion rate: 1000 ml ÷ 12 hrs = 83.33 ml/hr, rounded to 83 ml/hr.

Question 4 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 5 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.

Similar Questions

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?
A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate on the cardiac monitor. Which dysrhythmias should the nurse expect to find on the EKG?
The charge nurse is making assignments for clients on a cardiac unit. Which client should the charge nurse assign to a new graduate nurse?
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?
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?

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