ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
The nurse is providing discharge teaching for a client with asthma that has been prescribed inhaled beclomethasone. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Rinsing the mouth after beclomethasone use prevents oral thrush, a common side effect of inhaled corticosteroids.
Question 2 of 5
A senior nurse is providing instructions to a newly hired nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The senior nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia?
Correct Answer: A
Rationale: Spironolactone, a potassium-sparing diuretic, causes hyperkalemia by retaining potassium and hyponatremia by diluting sodium levels.
Question 3 of 5
A client presents to the emergency department complaining of sudden onset of palpitations and chest pain. After assessment, the nurse notes the client to be diaphoretic, skin is cool to touch, BP is 80/40 mm Hg. Resp 26 and Sats of 89% [see image]. The nurse anticipates an order for which of the following interventions?
Correct Answer: A
Rationale: Synchronized cardioversion is indicated for unstable SVT with hemodynamic instability, prioritizing rapid rhythm stabilization.
Extract:
Read scenario and answer question
Nursing - Intake Form
88 years old female, presenting with cough x3 days and subjective fever. Patient is alert and responsive. She is answering questions and does not is appear confused. She is taking her home medications as prescribed. She was sent by nursing home staff for evaluation.
Question 4 of 5
Upon discharge, of the listed immunizations, select the vaccines to be recommended for this older adult client. Select all that apply.
Correct Answer: A,B,C
Rationale: Pneumococcal, influenza, and COVID-19 vaccines are recommended for older adults to prevent severe infections; HIB and rotavirus are not indicated.
Extract:
Question 5 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.