ATI RN
ATI Med Surg Cardiac Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that their blood pressure readings of 124/84 mm Hg and 128/88 mm Hg place them in which of the following categories?
Correct Answer: A
Rationale: Diastolic readings of 84-88 mm Hg fall into Stage 1 hypertension (systolic 130-139 or diastolic 80-89).
Question 2 of 5
A nurse is caring for a client with a history of an abdominal aortic aneurysm (AAA). Which of the following assessments should be the nurse's priority for a client with an abdominal aortic aneurysm?
Correct Answer: D
Rationale: Blood pressure control is critical to prevent aneurysm rupture.
Question 3 of 5
A nurse is caring for a client who is ordered Potassium 40 mEq IV. On hand is Potassium Chloride 20 mEq/mL. What is the nurse's next action?
Correct Answer: B
Rationale: IV potassium must be diluted and not given undiluted or as IV push to avoid fatal arrhythmias.
Question 4 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: B
Rationale: Adenosine is the first-line treatment for stable SVT, blocking AV node conduction to reset the rhythm.
Extract:
Nurses' notes
A&O x 3. Skin cool, clammy, pale. Respirations labored at 30/min, shallow. Coarse crackles throughout bilateral lung fields. O2 saturation 88% on room air. Jugular vein distention (JVD) present bilaterally. Heart sounds moderate and regular, rate 98/min. BP 114/78 mm Hg. Temperature 87.8° C (99.9° F). Denies pain
Question 5 of 5
Complete the diagram by specifying 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.
| Actions to take A. Recommend smoking cessation program B. Apply O2 at 6L/min C. Apply O2 at 2L/min D. Monitor respiratory rate |
| Potential conditions A. Spontaneous pneumothorax B. Exacerbation of copd C. Pneumonia D. Worsening of congestive heart failure |
| Parameters to monitor A. Respiratory rate B. Oxygen saturation C. WBC Count D. Temperature |
Correct Answer: D,E,G
Rationale: Worsening congestive heart failure is indicated by crackles, JVD, and low O2 saturation; oxygen and monitoring respiratory rate and O2 saturation are critical.