ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?
Correct Answer: D
Rationale: A pulse deficit between apical and radial pulses indicates irregular ventricular contractions typical of atrial fibrillation.
Question 2 of 5
Which is(are) potential result(s) of end-organ damage from chronic hypertension? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Chronic hypertension damages the heart, kidneys, brain, and predisposes to atrial fibrillation, leading to cardiac disease, renal insufficiency, stroke, and arrhythmias.
Question 3 of 5
A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Tachycardia (e.g., 160/min) is a compensatory mechanism in shock to maintain cardiac output and perfusion.
Question 4 of 5
The nurse is caring for a client with a history of heart failure and notes a new onset of the following rhythm on the client's telemetry monitor. Which action would the nurse take first?
Correct Answer: B
Rationale: Obtaining vital signs first assesses the hemodynamic impact of new-onset atrial fibrillation, guiding further actions.
Extract:
Four hours after her arrival to the emergency department, the patient remains in second-degree type II heart block and her vital signs are stable. She is transferred to a telemetry unit to prepare for insertion of a permanent pacemaker later in the day. When she gets out of bed to use the restroom, she felt faint and had to sit on the floor. The nurse finds her sitting on the floor beside the commode; the patient is awake but somewhat confused. The nurse notes that the ECG monitor shows that the patient's heart rate is at 40 beats/minute and she is now in third degree heart block. The Rapid Response team is called, and preparations are made for the immediate application of a transcutaneous pacemaker (TCP).
Question 5 of 5
Which nursing actions should be included in the plan of care for the patient (Select All that Apply.)
Correct Answer: B,C,D,E,F
Rationale: Monitoring vital signs and ECG ensures stability, reassurance reduces anxiety, atropine may be used for bradycardia, proper pad placement ensures effective pacing, and analgesia addresses discomfort.