ATI RN
ATI RN Custom 2023 Med-Surg Cardiovascular Questions
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 1 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.
Extract:
Question 2 of 5
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?
Correct Answer: C
Rationale: A flat rhythm (asystole) requires immediate CPR as the first action to restore circulation, as defibrillation is not indicated for asystole.
Question 3 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 4 of 5
A client has developed atrial fibrillation with a ventricular rate of 148 beats per minute. Which assessment findings does the nurse expect to find in this client? Select all that apply
Correct Answer: A,B,D,E
Rationale: Rapid atrial fibrillation can reduce cardiac output, leading to shortness of breath, hypotension, chest pain, and dizziness due to inadequate perfusion.
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.