ATI RN
ATI RN NSG 232 Exam Med Surg Questions
Extract:
Question 1 of 5
A nurse is caring for a client with chest pain who suddenly becomes unresponsive. The client is pulseless, and apneic. The code team places the client on the monitor which indicates ventricular fibrillation, what is the next priority action?
Correct Answer: D
Rationale: Defibrillation is the immediate treatment for ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT) to restore a perfusing rhythm.
Question 2 of 5
A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?
Correct Answer: C
Rationale: The ECG shows ST-segment elevation, which is characteristic of ST-elevation myocardial infarction (STEMI).
Question 3 of 5
A nurse is caring for a client admitted with hypertensive emergency. The nurse is aware the treatment goals for the patient include which of the following?
Correct Answer: D
Rationale: Reducing blood pressure by 25% to 30% within the first hour, aiming for up to 50%, is the goal in hypertensive emergency.
Question 4 of 5
A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain. (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D,E,F
Rationale: A: Distribution assesses pain spread. B: Onset determines timing. C: Intensity evaluates severity. D: Location identifies pain site. E: Radiation checks for pain spread. F: Alleviated identifies relieving factors.
Question 5 of 5
A nurse is caring for a client who is complaining of dyspnea, dizziness, palpitations, and rapid heart rate. ECG shows a narrow complex tachy dysrhythmia with a rate of 188, Supraventricular Tachycardia (SVT) The nurse is aware that this rapid arrhythmia is best treated with which of the following medications?
Correct Answer: C
Rationale: Adenosine is the medication of choice for terminating supraventricular tachycardia (SVT) due to its rapid action on the AV node.