ATI RN Custom 2023 Med-Surg Cardiovascular | Nurselytic

Questions 25

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ATI RN Custom 2023 Med-Surg Cardiovascular Questions

Extract:


Question 1 of 5

The nurse notes a client in supraventricular tachycardia. The patient has a pulse and the cardiac monitor is at the bedside. The nurse understands electrical intervention is indicated. What button does the nurse push to ensure the electricity is delivered on the R wave? Refer to the picture.

Correct Answer: D

Rationale: Synchronized cardioversion delivers a shock on the R wave to avoid the vulnerable T wave period, reducing the risk of inducing ventricular fibrillation. The SYNC button ensures this timing.

Question 2 of 5

A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

Correct Answer: C

Rationale: Regular insulin dosing requires clarification on timing and frequency (e.g., how many meals), as vague orders can lead to administration errors.

Question 3 of 5

The nurse on the unit hears an alarm sound in the client's room. Arriving in the room, the client is unresponsive, pulseless and the nurse sees the flat rhythm on the monitor. What is the FIRST action by the nurse?

Correct Answer: C

Rationale: A flat rhythm (asystole) requires immediate CPR as the first action to restore circulation, as defibrillation is not indicated for asystole.

Question 4 of 5

A client with a complaint of dehydration has been admitted into the medical floor. Sodium chloride 1000 ml IV to infuse over 12 hrs has been ordered by the admitting Physician. How many ml/hr should you administer? (Round to the nearest whole number) ml/hr

Correct Answer: 83

Rationale:
To calculate the infusion rate: 1000 ml ÷ 12 hrs = 83.33 ml/hr, rounded to 83 ml/hr.

Question 5 of 5

A patient on the telemetry unit develops atrial flutter with a heart rate of 150, respirations 26, b/p 118/64 and a O2 saturation of 90% while sitting down. Which action should the nurse do FIRST?

Correct Answer: D

Rationale: With an O2 saturation of 90%, the priority is to address hypoxia by administering supplemental oxygen first to improve oxygenation.

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