ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A client with the rhythm below has been admitted into the cardiac icu. What assessment finding does the nurse expect to find in this client?
Correct Answer: D
Rationale: The rhythm, likely atrial fibrillation, causes an irregularly irregular pulse, often perceived as palpitations, a hallmark symptom.
Question 2 of 5
What condition do these results indicate? A nurse is reviewing arterial blood gas lab values on her newly admitted elderly client. The ABG results are as follows: pH 7.21, PaCO2 50, HCO3 26.
Correct Answer: A
Rationale: The pH of 7.21 indicates acidosis, and the elevated PaCO2 of 50 mmHg suggests carbon dioxide retention, characteristic of respiratory acidosis due to inadequate CO2 expulsion.
Question 3 of 5
A nursing student is looking at a telemetry screen with multiple rhythms. The unit is a step-down cardiac unit with delicate patients. Patients on Census The unit has the following clients: 82 yrs old male with Atrial flutter next step in treatment is electrical management, 65 yrs old female with SVT not responding to medication, 78 yrs old female with symptomatic bradycardia not responding to medication, 80 yrs old male with Ventricular fibrillation being coded, 69 yrs old female has a faint pulse on the cardiac monitor - the rhythm is Ventricular Tachycardia. For each dysrhythmia listed, please select the correct electricity to be used to manage the dysrhythmias.
| Options | Transcutaneous Pacing | Defibrillation | Synchronized cardioversion |
|---|---|---|---|
| Unstable Supraventricular Tachycardia: Synchronized Cardioversion | |||
| Unstable Bradycardia: Transcutaneous Pacing | |||
| Ventricular Fibrillation: Defibrillation | |||
| Ventricular Tachycardia with No Pulse: Defibrillation | |||
| Unstable Atrial Flutter: Synchronized Cardioversion |
Correct Answer: A,B,C,D,E
Rationale: Unstable SVT and atrial flutter require synchronized cardioversion; bradycardia needs pacing; ventricular fibrillation and pulseless VT require defibrillation.
Question 4 of 5
How many milligrams of carbidopa is this patient taking per dose/tablet?
Correct Answer: B
Rationale: The label indicates each tablet contains 25 mg of carbidopa, combined with levodopa to enhance effectiveness and reduce side effects.
Question 5 of 5
The nurse is preparing discharge teaching for a client who is recently diagnosed with Multiple sclerosis. Which of the following is the most important to include in the patient teaching?
Correct Answer: B
Rationale: Using assistive devices like canes or walkers enhances mobility and safety, critical for MS patients with weakness and coordination issues.