ATI RN
ATI RN Custom 2023 Med-Surg Cardiovascular Questions
Extract:
Question 1 of 5
A nurse is teaching a client with angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?
Correct Answer: A
Rationale: Nitroglycerin is administered sublingually for rapid absorption to relieve chest pain. The standard instruction is to take one tablet every 5 minutes up to 3 doses if chest pain persists, then seek medical help if unrelieved.
Question 2 of 5
A client with a complaint of dehydration has been admitted into the medical floor. Sodium chloride 1000 ml IV to infuse over 12 hrs has been ordered by the admitting Physician. How many ml/hr should you administer? (Round to the nearest whole number) ml/hr
Correct Answer: 83
Rationale:
To calculate the infusion rate: 1000 ml ÷ 12 hrs = 83.33 ml/hr, rounded to 83 ml/hr.
Question 3 of 5
A nurse is educating a patient with a newly placed pacemaker about a variety of complementary and alternative therapies. What type of therapy is contraindicated in patients with pacemakers?
Correct Answer: B
Rationale: Magnetic therapy can interfere with pacemaker function due to electromagnetic fields, making it contraindicated.
Extract:
Read orders by the prescriber and answer the question.
Prescriber's orders
Labs: PT, PTT, INR
Unsupervised ambulation every 1 hr
Give protamine sulfate STAT
Give Aspirin orally daily
Continue unrestricted regular diet
Give vitamin K STAT
Initiate bleeding precautions
Question 4 of 5
A nurse is admitting a client who has been in Atrial Fibrillation for 24 hours. Which of the following interventions does the nurse plan to complete?
Correct Answer: A,B,C,D
Rationale: For atrial fibrillation over 24 hours, anticoagulation (heparin, Coumadin) is planned to prevent thromboembolism, labs monitor clotting, and vitamin K reverses anticoagulation if needed.
Extract:
Question 5 of 5
A client on the cardiac telemetry unit goes into Ventricular fibrillation and is unresponsive. Following initiation of the emergency call system (code blue), what is the next priority for the nurse in caring for the client?
Correct Answer: B
Rationale: Ventricular fibrillation is a lethal arrhythmia requiring immediate defibrillation to restore a viable rhythm, making it the next priority after activating the emergency system.