ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
The nurse is teaching a client with atrial fibrillation about the need to begin long-term anticoagulant therapy. Which explanation should the nurse use to best describe the reasoning for this therapy?
Correct Answer: B
Rationale: In atrial fibrillation, sluggish blood flow in the quivering atria increases the risk of clot formation, necessitating anticoagulant therapy.
Question 2 of 5
During an emergency code situation, a primary healthcare provider about to defibrillate a client diagnosed with ventricular fibrillation says in a loud voice, 'CLEAR!' Which action should the nurse implement immediately?
Correct Answer: B
Rationale:
Stepping away from the bed and ensuring others have done the same prevents accidental electrical shock during defibrillation.
Question 3 of 5
A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?
Correct Answer: B
Rationale: Atropine is the first-line medication for symptomatic bradycardia. It works by blocking the vagus nerve's effects on the heart, increasing heart rate. It is commonly used in emergency settings to manage bradycardia until a more definitive treatment, such as pacemaker insertion, can be provided.
Question 4 of 5
A nurse is caring for a client who is found unresponsive and pulseless in their room. An ECG confirms the client is in pulseless ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?
Correct Answer: A
Rationale: Defibrillation is the appropriate intervention for pulseless ventricular tachycardia to restore a normal rhythm.
Question 5 of 5
The nurse is caring for a client who was prescribed digoxin. Which manifestations correlate with a digoxin level of 3.0 (Range: 0.8-2.0)? (Select all that apply)
Correct Answer: A,B
Rationale: Nausea and vomiting are common symptoms of digoxin toxicity due to gastrointestinal irritation caused by elevated digoxin levels. Photophobia and hyperglycemia are not typically associated with digoxin toxicity.