ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Nurse's Notes
The client arrives to the ED and reports a "fluttering" and "racing" heartbeat. The client also reports dizziness and shortness of breath. Client placed on telemetry, cardiac rhythm is irregular, tachycardic and has unclear P waves.
A nurse is caring for a client in the emergency department (ED).
Question 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Acton to Take: Prepare the client for defibrillation |
| Obtain a 12 lead ECG |
| Teach the client how to perform vagal maneuver |
| Administer adenosine IV push |
| Administer an anticoagulant |
| Potential conditions A. Atrial fibrillation B. Supraventricular Tachycardia C. Ventricular fibrillation D. Ventricular tachycardia |
| Parameters to monitor A. Central nervous system side effects B. Manifestations of stroke C. Prolonged PR interval D. PT/INR E. Hypokalemia |
Correct Answer: A,B,E,B,D
Rationale: The client is likely experiencing atrial fibrillation, indicated by irregular, tachycardic rhythm and unclear P waves. Obtaining a 12-lead ECG and administering an anticoagulant are appropriate actions. Monitoring for stroke manifestations and PT/INR assesses progress and anticoagulant therapy effectiveness.
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Question 2 of 5
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Question 5 of 5
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