ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 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 appropriate for stable ventricular tachycardia with a pulse, as it synchronizes electrical shock to restore normal rhythm.
Question 2 of 5
A nurse is caring for a client who is postoperative and whose respirations are shallow and 9/min. Which of the following acid-based imbalances should the nurse identify the client as being at risk for developing initially?
Correct Answer: B
Rationale: Shallow, slow respirations cause CO2 retention, leading to respiratory acidosis as the initial acid-base imbalance.
Question 3 of 5
A nurse is caring for a client who has an acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Hypotension, decreased consciousness, severe dyspnea, and headache are manifestations of ARF due to hypoxemia, hypercapnia, or acidosis.
Question 4 of 5
A patient who has neurogenic shock is receiving a dobutamine infusion through a right forearm IV. Which assessment finding obtained by the nurse indicates a need for immediate action?
Correct Answer: A
Rationale: A cool and pale IV site indicates potential infiltration or poor perfusion, requiring immediate action to prevent tissue damage.
Question 5 of 5
Mr Jones came to the ER complaining of chest palpitations. He states his heart feels like it is 'racing'. The nurse found the following rhythm on the monitor. What is the next step would the nurse expect to take first?
Correct Answer: B
Rationale: The Valsalva maneuver, such as blowing into a syringe, can stimulate the vagus nerve to slow supraventricular tachycardia, making it the first non-invasive step.