ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
The nurse is notified by the telemetry monitor tech that the client has been persistently in the following rhythm [see image). The client has a exhibiting the following cardiac rhythm? pulse of 130 bpm, B/P of 86/44 mm Hg, respirations of 24 with a saturation of 90%. Which of the following is a priority intervention for a client exhibiting the following cardiac rhythm?
Correct Answer: B
Rationale: The priority intervention for a client exhibiting this cardiac rhythm with accompanying signs of hemodynamic instability (low blood pressure, tachycardia, respiratory distress) is synchronized cardioversion. This is especially the case if the rhythm is atrial fibrillation, atrial flutter, or supraventricular tachycardia (SVT), which can be life-threatening if not treated promptly. Synchronized cardioversion is indicated when the patient is symptomatic and hemodynamically unstable.
Question 2 of 5
A nurse is caring for a group of clients on a hospital unit with the assistance of a licensed practical nurse [LPN]. Which aspect of client care would be the most appropriate for the nurse to delegate to the LPN?
Correct Answer: A
Rationale: Administering oral antibiotics is an appropriate task to delegate to a licensed practical nurse (LPN). LPNs are trained to administer medications, including oral antibiotics, and to monitor for common side effects or adverse reactions. Since the task is routine and does not require advanced clinical judgment, it can be delegated to the LPN under the nurse's supervision.
Question 3 of 5
A nurse working in the cardiac icu is caring for client with suspected left sided heart failure. For which clinical manifestation should the nurse assess for?
Correct Answer: A
Rationale: Left-sided heart failure causes pulmonary congestion, leading to crackles in the lungs due to fluid accumulation.
Question 4 of 5
How many milligrams of carbidopa is this patient taking per dose/tablet?
Correct Answer: B
Rationale: The label indicates each tablet contains 25 mg of carbidopa, combined with levodopa to enhance effectiveness and reduce side effects.
Question 5 of 5
What condition do these results indicate? A nurse is reviewing arterial blood gas lab values on her newly admitted elderly client. The ABG results are as follows: pH 7.21, PaCO2 50, HCO3 26.
Correct Answer: A
Rationale: The pH of 7.21 indicates acidosis, and the elevated PaCO2 of 50 mmHg suggests carbon dioxide retention, characteristic of respiratory acidosis due to inadequate CO2 expulsion.