ATI RN
ATI RN Custom 2023 Med-Surg Cardiovascular Questions
Extract:
Question 1 of 5
A nurse is caring for a client that is post cardiopulmonary arrest. The nurse anticipates to administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?
Correct Answer: B
Rationale: Atropine is the first-line medication for symptomatic bradycardia as it increases heart rate by blocking vagal activity on the SA node.
Question 2 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 3 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 4 of 5
A nurse is reviewing the EKG strip of a client who is hypotensive and is complaining of leg cramping. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?
Correct Answer: D
Rationale: Hypokalemia often causes a prominent U wave on an ECG due to delayed ventricular repolarization.
Question 5 of 5
A nurse is caring for a client that is post cardiopulmonary arrest. The nurse anticipates to administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?
Correct Answer: B
Rationale: Atropine is the first-line medication for symptomatic bradycardia as it increases heart rate by blocking vagal activity on the SA node.