ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring. The nurse understands that the pacemaker is functioning properly when which of the following appears on the monitor strip?
Correct Answer: A
Rationale: Pacemaker spikes before each QRS complex indicate proper ventricular pacing, stimulating ventricular depolarization.
Question 2 of 5
When admitting a patient with possible respiratory failure and a high PaCO2, which assessment information should be immediately reported to the health care provider?
Correct Answer: B
Rationale: Somnolence indicates potential respiratory depression or hypercapnia, a critical sign of worsening respiratory failure requiring immediate reporting.
Question 3 of 5
A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?
Correct Answer: A
Rationale: Atropine increases heart rate by blocking vagal tone, making it the first-line treatment for symptomatic bradycardia.
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
A patient admitted with urosepsis and alcohol abuse had three seconds of PVCS and returns to sinus tachycardia. The patient's baseline heart rate is 116/min with a temperature of 101.1F, respirations of 22/min and blood pressure is 114/64. What should the nurse anticipate to do first?
Correct Answer: D
Rationale: Assessing level of consciousness is the priority to detect neurological deterioration in urosepsis, guiding further interventions.