ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who was admitted for atrial fibrillation rapid ventricular rate of 130 beat/min with confusion. The client's blood pressure is 87/50. What order should the nurse expect to receive from the provider?
Correct Answer: C
Rationale: Amiodarone is used for rate control in atrial fibrillation, especially in hypotensive patients, to stabilize hemodynamics.
Question 2 of 5
Norepinephrine has been prescribed for a patient who was admitted with dehydration and hypotension. Which data indicate that the nurse should consult with the health care provider before starting the norepinephrine?
Correct Answer: A
Rationale: Low central venous pressure indicates hypovolemia, requiring fluid resuscitation before vasopressors like norepinephrine to prevent worsening hypotension.
Question 3 of 5
A 78-kg patient in septic shock has a pulse rate of 120 beats/min with low central venous pressure and pulmonary artery wedge pressure. After initial fluid volume resuscitation, the patient's urine output has been 30 mL/hr for the past 3 hours. Which order by the health care provider should the nurse question?
Correct Answer: B
Rationale: Furosemide is inappropriate in septic shock with low urine output, as it may worsen hypovolemia and organ perfusion.
Question 4 of 5
An older patient with cardiogenic shock is cool and clammy. Hemodynamic monitoring indicates a high systemic vascular resistance (SVR). Which intervention should the nurse anticipate?
Correct Answer: B
Rationale: Sodium nitroprusside reduces high SVR, improving perfusion in cardiogenic shock with vasoconstriction.
Extract:
Nurses' Notes
0930:
The client arrives to the ED and reports a "fluttering" and "racing" heartbeat. The client also reports dizziness and shortness of breath.
0945:
Client placed on telemetry, cardiac rhythm is irregular, tachycardia and has unclear P waves. 0955:
Doctor in to assess patient. Orders received.
Vital Signs
0940:
Blood pressure 165/88 mm Hg Pulse rate 126/min Respiratory rate 22/min
Oxygen saturation 94% on room air
Question 5 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: