ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
Mr Jones came to the ER complaining of chest palpitations. He states his heart feels like it is 'racing'. The nurse found the following rhythm on the monitor. What is the next step would the nurse expect to take first?
Correct Answer: B
Rationale: The Valsalva maneuver, such as blowing into a syringe, can stimulate the vagus nerve to slow supraventricular tachycardia, making it the first non-invasive step.
Question 2 of 5
A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Which of the following assessments is an indication that the client might be experiencing circulatory overload?
Correct Answer: C
Rationale: Dyspnea indicates pulmonary congestion from circulatory overload, a common complication of rapid blood transfusion.
Question 3 of 5
A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?
Correct Answer: A
Rationale: Atrial fibrillation causes an irregularly irregular pulse due to chaotic atrial activity and inconsistent ventricular responses.
Question 4 of 5
Which information about a patient who is receiving cisatracurium (Nimbex) to prevent asynchronous breathing with the positive pressure ventilator requires action by the nurse?
Correct Answer: D
Rationale: Cisatracurium causes paralysis, requiring sedation to ensure patient comfort and prevent awareness, making the lack of a sedative order a priority for action.
Question 5 of 5
The nurse is caring for a client who has heart failure with an EF of 40%. The client has a BP of 170/67 with an HR of 60. He currently is in normal sinus rhythm and has an amber urine output of 45ml in the last 3 hours. Which medication would the nurse expect to give first?
Correct Answer: D
Rationale: Low urine output suggests hypovolemia, and a normal saline bolus is the first step to optimize intravascular volume and improve cardiac output in heart failure.