ATI RN
ATI Med Surg exam 2 III Questions
Extract:
Question 1 of 5
A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Nitroglycerin causes vasodilation, leading to headaches as a common adverse effect. These headaches are due to the increased blood flow and dilation of cerebral blood vessels.
Question 2 of 5
Examine the attached ECG image and identify the type of arrhythmia present. The ECG shows a series of wide QRS complexes occurring at a rapid rate.
Correct Answer: B
Rationale: Ventricular tachycardia is characterized by a rapid rate and wide QRS complexes. This rhythm originates in the ventricles and can lead to a decrease in cardiac output and possible deterioration into ventricular fibrillation.
Question 3 of 5
A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?
Correct Answer: A
Rationale: Frothy sputum indicates pulmonary edema, a common complication of left-sided heart failure, resulting from fluid accumulation in the lungs due to poor ventricular function.
Question 4 of 5
A nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm. Which of the following options should the nurse identify as the P wave in the ECG complex?
Correct Answer: A
Rationale: The first upward deflection in an ECG represents the P wave, indicating atrial depolarization. It precedes the QRS complex and corresponds to the electrical activity associated with atrial contraction, initiating the cardiac cycle.
Question 5 of 5
A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?
Correct Answer: C
Rationale: Atrial fibrillation is characterized by an irregularly irregular pulse due to disorganized electrical activity in the atria, leading to inconsistent ventricular contractions.