ATI RN
ATI Med Surg exam 2 III Questions
Extract:
Question 1 of 5
Examine the attached ECG image and identify the type of arrhythmia present. The ECG shows a series of wide QRS complexes occurring at a rapid rate.
Correct Answer: B
Rationale: Ventricular tachycardia is characterized by a rapid rate and wide QRS complexes. This rhythm originates in the ventricles and can lead to a decrease in cardiac output and possible deterioration into ventricular fibrillation.
Question 2 of 5
A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify Says the nurse clarify?
Correct Answer: A
Rationale: An MRI of the chest is contraindicated in clients with a permanent pacemaker due to the strong magnetic fields, which can interfere with pacemaker function.
Extract:
Nurses Notes
Vital Signs
Provider's Prescriptions
0700: Client arrived in the ED complaining of chest discomfort and shortness of breath. Alert and oriented x3. Reports a history of hypertension and diabetes mellitus. Skin is warm and dry. Respirations are 18/min, easy and regular. Oxygen saturation is 91% on room air. Morphine Sulfate 2 mg administered IVP at 0715 for pain management. Client resting in bed, denies pain at this time.
Question 3 of 5
A nurse is caring for a 58-year-old male client in the emergency department (ED) who presents with an irregular pulse and elevated blood pressure. The nurse is planning care for the client. For each potential prescription, indicate whether it is indicated, nonessential, or contraindicated.
| Options | Indicated | Nonessential | Contraindicated |
|---|---|---|---|
| Administer O2 to maintain oxygen saturation greater than 90%. | |||
| Apply continuous ECG monitoring. | |||
| Obtain the client's family history. | |||
| Prepare the client for intubation. |
Correct Answer: A,B
Rationale: Administering O2 to maintain oxygen saturation greater than 90% is indicated to improve tissue oxygenation. Continuous ECG monitoring is crucial for detecting arrhythmias and ischemic changes.
Extract:
Question 4 of 5
A nurse is assessing a male client who has advanced peripheral artery disease (PAD). Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Leg pain at rest, called rest pain, signifies advanced peripheral artery disease due to severe arterial insufficiency and poor oxygen supply to tissues.
Question 5 of 5
A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Potassium 2.3 mEq/L is significantly below the normal range (3.5-5.0 mEq/L), indicating hypokalemia, which can lead to arrhythmias and requires prompt reporting.