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
The nurse notes a client in supraventricular tachycardia. The patient has a pulse and the cardiac monitor is at the bedside. The nurse understands electrical intervention is indicated. What button does the nurse push to ensure the electricity is delivered on the R wave? Refer to the picture.
Correct Answer: D
Rationale: Synchronized cardioversion delivers a shock on the R wave to avoid the vulnerable T wave period, reducing the risk of inducing ventricular fibrillation. The SYNC button ensures this timing.
Question 3 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 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 client comes to the emergency department with reports of three days of watery stools and emesis × 6 in the past hour. Upon assessment, the nurse notes vital signs are B/P 130/92 mmHg, heart rate 130 bpm, respiratory rate 18 bpm, and oxygen saturation of 98% in room air. The nurse puts the client on the cardiac monitor. What does the nurse anticipate will be the prescription by the medical provider?
Correct Answer: B
Rationale: The client shows signs of dehydration (tachycardia, vomiting, diarrhea), so an IV sodium chloride bolus is anticipated to restore fluid volume.