ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A nurse receives the following medication orders while caring for multiple clients. Which medication should the nurse plan to administer first?
Correct Answer: C
Rationale: Crushing chest pain suggests a possible myocardial infarction, a life-threatening condition requiring immediate administration of nitroglycerin to improve coronary blood flow.
Question 2 of 5
The nurse supervises the care of a patient with a temporary radioactive cervical implant. Which action by unlicensed assistive personnel (UAP), if observed by the nurse, would require immediate intervention?
Correct Answer: A
Rationale: This action requires immediate intervention because of the potential radiation exposure to the UAP. A temporary radioactive cervical implant involves placing a radioactive source in or near the patient's cervix. Prolonged close contact increases the risk of radiation exposure.
Question 3 of 5
A client presents to the emergency department complaining of sudden onset of palpitations and chest pain. After assessment, the nurse notes the client to be diaphoretic, skin is cool to touch, BP is 80/40 mm Hg. Resp 26 and Sats of 89% [see image]. The nurse anticipates an order for which of the following interventions?
Correct Answer: A
Rationale: Synchronized cardioversion is indicated for unstable SVT with hemodynamic instability, prioritizing rapid rhythm stabilization.
Question 4 of 5
A nurse is teaching a client who has 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: C
Rationale: Taking nitroglycerin at the first sign of chest pain ensures rapid relief by dilating coronary arteries.
Question 5 of 5
A patient taking Digoxin is experiencing severe bradycardia, nausea and vomiting. A lab draw shows that their Digoxin level is 4 ng/mi (0.8-2.0 ng/ml). What management does the nurse anticipate the physician to order? Select all that apply.
Correct Answer: A,C,D
Rationale:
A) IV fluids aid in excreting excess digoxin.
C) Holding digoxin prevents worsening toxicity.
D) Digibind neutralizes digoxin in severe toxicity.