ATI RN
ATI RN Custom 2023 Med-Surg Cardiovascular Questions
Extract:
Question 1 of 5
A nurse is teaching a client with a new atrial fibrillation diagnosis on worsening signs and symptoms. The nurse should instruct the client to monitor for which of the following complications?
Correct Answer: B
Rationale: Slurred speech could indicate a stroke, a potential complication of atrial fibrillation due to thromboembolism from atrial stasis.
Question 2 of 5
The nurse on the unit hears an alarm sound in the client's room. Arriving in the room, the client is unresponsive, pulseless and the nurse sees the flat rhythm on the monitor. What is the FIRST action by the nurse?
Correct Answer: C
Rationale: A flat rhythm (asystole) requires immediate CPR as the first action to restore circulation, as defibrillation is not indicated for asystole.
Question 3 of 5
A client with Sinus tachycardia has been admitted into the telemetry unit. The nurse identifies the following as possible causes of sinus tachycardia. Select all that apply
Correct Answer: A,C,E
Rationale: Fever, albuterol (a beta-agonist), and dehydration can increase heart rate, causing sinus tachycardia, while lisinopril and sleeping typically do not.
Question 4 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.
Question 5 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.