ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
The patient asks the nurse what the P Wave indicates on an EKG strip. The nurse informs the patient that the P Wave represents:
Correct Answer: D
Rationale: The P wave represents the passage of the electrical impulse through the atria, leading to atrial depolarization and contraction, initiating the cardiac cycle.
Question 2 of 5
A client with history of myasthenia gravis is experiencing prolonged periods of weakness and difficulty breathing. The provider orders an edrophonium [Tensilon] test. Once the dose is administered, the client becomes weaker. The nurse interprets this test result as:
Correct Answer: D
Rationale: Worsening weakness after edrophonium suggests a cholinergic crisis, indicating excessive acetylcholinesterase inhibition from overmedication.
Question 3 of 5
A patient taking Digoxin is experiencing severe bradycardia, nausea and vomiting. A lab draw shows that their Digoxin level is 4 ng/mi (0.8-2.0 ng/ml). What management does the nurse anticipate the physician to order? Select all that apply.
Correct Answer: A,C,D
Rationale:
A) IV fluids aid in excreting excess digoxin.
C) Holding digoxin prevents worsening toxicity.
D) Digibind neutralizes digoxin in severe toxicity.
Question 4 of 5
COPD patient's chart - Nurse's Note (0800) 84-year-old male client with a chronic obstructive pulmonary disease (emphysema) history is admitted to the inpatient Med surge unit provider today. Upon admission, the client reports unusual increased shortness of breath and fatigue. The client is on 1 liter of oxygen via a nasal cannula; 02 saturation is 93%. The client's respiratory rate is 30 bpm with accessory muscle use, heart rate is 125 bpm, and blood pressure is 127/89 mmHg. The client has a barrel chest and extremities. On call provided paged, pending call back. Identify listed assessment findings as expected or findings that need to be reported to the provider.
| Options | Expected Findings | Findings to be reported to provider |
|---|---|---|
| Barrel chest: Expected Finding | ||
| Increased fatigue: Finding to be reported to the provider | ||
| Respiratory rate 40 bpm: Finding to be reported to the provider | ||
| Thin appearance: Expected Finding |
Correct Answer: A,B,C,D
Rationale: Barrel chest and thin appearance are expected in COPD; increased fatigue and tachypnea (40 bpm) indicate exacerbation, requiring reporting.
Question 5 of 5
A client with the rhythm below has been admitted into the cardiac icu. What assessment finding does the nurse expect to find in this client?
Correct Answer: D
Rationale: The rhythm, likely atrial fibrillation, causes an irregularly irregular pulse, often perceived as palpitations, a hallmark symptom.