ATI RN
ATI RN Custom 2023 Med-Surg Cardiovascular Questions
Extract:
Question 1 of 5
A nurse is reviewing the EKG strip of a client who is hypotensive and is complaining of leg cramping. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?
Correct Answer: D
Rationale: Hypokalemia often causes a prominent U wave on an ECG due to delayed ventricular repolarization.
Question 2 of 5
A client has with Angina has been ordered to take sublingual NTG tablets. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Sublingual nitroglycerin (NTG) should be placed under the tongue while sitting or lying to enhance absorption and reduce risk of dizziness from vasodilation, taken at the onset of chest pain.
Question 3 of 5
A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate on the cardiac monitor. Which dysrhythmias should the nurse expect to find on the EKG?
Correct Answer: D
Rationale: Symptoms of irregular palpitations, fatigue, and dizziness with a rapid, irregular heart rate are classic for atrial fibrillation.
Question 4 of 5
A nurse is caring for a client that is post cardiopulmonary arrest. The nurse anticipates to administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?
Correct Answer: B
Rationale: Atropine is the first-line medication for symptomatic bradycardia as it increases heart rate by blocking vagal activity on the SA node.
Question 5 of 5
A nurse is caring for a client who has developed a thrombus and is receiving heparin by continuous IV infusion. The client asks the nurse how long will it take for the heparin to dissolve the clot. Which of the following responses should the nurse give?
Correct Answer: A
Rationale: Heparin prevents further clot formation by enhancing antithrombin activity but does not dissolve existing clots; thrombolytics are needed for that.