ATI RN
ATI RN Custom 2023 Med-Surg Cardiovascular Questions
Extract:
Question 1 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 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 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 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.
Extract:
Read orders by the prescriber and answer the question.
Prescriber's orders
Labs: PT, PTT, INR
Unsupervised ambulation every 1 hr
Give protamine sulfate STAT
Give Aspirin orally daily
Continue unrestricted regular diet
Give vitamin K STAT
Initiate bleeding precautions
Question 5 of 5
A nurse is admitting a client who has been in Atrial Fibrillation for 24 hours. Which of the following interventions does the nurse plan to complete?
Correct Answer: A,B,C,D
Rationale: For atrial fibrillation over 24 hours, anticoagulation (heparin, Coumadin) is planned to prevent thromboembolism, labs monitor clotting, and vitamin K reverses anticoagulation if needed.