ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Increasing IV fluid rate restores intravascular volume, preventing shock and reducing bleeding viscosity.
Question 2 of 5
A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?
Correct Answer: A
Rationale: Elective cardioversion is used for stable VT to restore normal rhythm.
Question 3 of 5
A nurse in the emergency department is caring for a client who sustained a head injury. The nurse notes the client's IV fluids are infusing at 125 mL/hr. Which of the following is an appropriate action by the nurse?
Correct Answer: C
Rationale: Continuing at 125 mL/hr maintains hydration without risking fluid overload or increased intracranial pressure.
Question 4 of 5
A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction. Which of the following prescriptions should the nurse take first?
Correct Answer: B
Rationale: Initiating oxygen therapy ensures adequate oxygenation to prevent further myocardial damage.
Question 5 of 5
A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?
Correct Answer: C
Rationale: 0.9% normal saline at 50 mL/hr may cause fluid overload in heart failure, requiring clarification.