ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, 'I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up.' Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Correct Answer: D
Rationale: Adequate hydration thins mucus, facilitating clearance of tenacious bronchial secretions in COPD patients.
Question 3 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.
| Options | Transcutaneous Pacing | Defibrillation | Synchronized 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 4 of 5
A nurse is assessing a client who has been recently diagnosed with Bell's palsy. Which of the following findings should the nurse expect? [Select all that apply.]
Correct Answer: A,D,E
Rationale:
A) Unilateral facial drooping is a hallmark of Bell's palsy.
D) Difficulty swallowing can occur due to facial muscle weakness. E) Inability to close the eye results from facial nerve paralysis.
Question 5 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.