ATI RN
ATI Med Surg Nursing 300 day Exam Questions
Extract:
Question 1 of 5
When using an ECG rhythm strip to quickly estimate the ventricular rate for a client, the nurse should:
Correct Answer: C
Rationale: Counting QRS complexes in a 6-second strip and multiplying by 10 is the fastest method to estimate heart rate.
Question 2 of 5
The nurse is caring for a patient who is about to have a lumbar puncture to obtain cerebrospinal fluid for lab analysis. The patient is anxious about damage to the spinal cord. What is the best response by the nurse?
Correct Answer: C
Rationale: Explaining the needle placement below the spinal cord addresses the patient's fear of damage.
Question 3 of 5
The nurse observes the following rhythm of a client on the telemetry unit. Which action should be completed first?
Correct Answer: D
Rationale: Ventricular tachycardia requires immediate assessment of responsiveness and pulse to determine if the patient is stable or in cardiac arrest.
Question 4 of 5
The client is diagnosed with a transient ischemic attack (TIA) and is prescribed clopidogrel. Which statement would indicate the medication education has been effective for this client? The client states, 'Clopidogrel
Correct Answer: B
Rationale: Clopidogrel prevents platelet aggregation, reducing the risk of stroke post-TIA.
Question 5 of 5
A client admitted to the Emergency Department (ED) and the cardiac monitor shows multifocal premature ventricular contractions (PVC's). Initial laboratory findings are as follows. The nurse recognizes that the client's PVC's are most likely caused by:
Correct Answer: C
Rationale: Hypokalemia (2.8 mEq/L) is a known cause of PVCs due to its effect on cardiac repolarization.