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ATI RN Custom 2023 Med-Surg Cardiovascular Questions

Extract:


Question 1 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 2 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.

Question 3 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 4 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.

Question 5 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.

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