Questions 55

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ATI Nurs 201 Med Surg 2 Exam Questions

Extract:


Question 1 of 5

A nursing student is looking at a telemetry screen with multiple rhythms. The unit is a step-down cardiac unit with delicate patients. Patients on Census The unit has the following clients: 82 yrs old male with Atrial flutter next step in treatment is electrical management, 65 yrs old female with SVT not responding to medication, 78 yrs old female with symptomatic bradycardia not responding to medication, 80 yrs old male with Ventricular fibrillation being coded, 69 yrs old female has a faint pulse on the cardiac monitor - the rhythm is Ventricular Tachycardia. For each dysrhythmia listed, please select the correct electricity to be used to manage the dysrhythmias.

OptionsTranscutaneous PacingDefibrillationSynchronized cardioversion
Unstable Supraventricular Tachycardia: Synchronized Cardioversion
Unstable Bradycardia: Transcutaneous Pacing
Ventricular Fibrillation: Defibrillation
Ventricular Tachycardia with No Pulse: Defibrillation
Unstable Atrial Flutter: Synchronized Cardioversion

Correct Answer: A,B,C,D,E

Rationale: Unstable SVT and atrial flutter require synchronized cardioversion; bradycardia needs pacing; ventricular fibrillation and pulseless VT require defibrillation.

Question 2 of 5

The nurse is assessing a client who is diagnosed with heart failure and reports slight limitation of physical activity, is comfortable at rest but ordinary physical activity causes symptoms. What heart failure classification does this patient fall under?

Correct Answer: A

Rationale: Class II heart failure, per NYHA classification, involves slight limitation in physical activity with symptoms during ordinary activity, but comfort at rest.

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 caring for a client who develops the rhythm below. The client is unresponsive, pulseless, and apneic. Which of the following actions should the nurse expect to do first?

Correct Answer: A

Rationale: Defibrillation is the priority for ventricular fibrillation, a life-threatening arrhythmia, to restore a perfusing rhythm in an unresponsive, pulseless client.

Question 5 of 5

A nurse in the med-surgical ICU is evaluating a patient with a diagnosis of chronic copd. The patient is receiving oxygen at a flow rate of 10 L/min via facemask. Which finding would concern the nurse to act immediately?

Correct Answer: A

Rationale: A respiratory rate of 8 bpm indicates respiratory depression, potentially due to high-flow oxygen suppressing the respiratory drive in COPD patients, requiring immediate intervention.

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