ATI RN
ATI RN Custom 2023 Med-Surg Cardiovascular Questions
Extract:
Question 1 of 5
Which of the following medications does the nurse anticipate being ordered for a client admitted with the following tachycardic rhythm and complaints of palpitations and dizziness?
Correct Answer: C
Rationale: Metoprolol IV is commonly used to control ventricular rate in tachycardic rhythms like atrial fibrillation or flutter, addressing symptoms like palpitations and dizziness.
Question 2 of 5
A nurse is caring for a client who has developed a thrombus and is receiving heparin by continuous IV infusion. The client asks the nurse how long will it take for the heparin to dissolve the clot. Which of the following responses should the nurse give?
Correct Answer: A
Rationale: Heparin prevents further clot formation by enhancing antithrombin activity but does not dissolve existing clots; thrombolytics are needed for that.
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 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 5 of 5
A client comes to the emergency department with reports of three days of watery stools and emesis × 6 in the past hour. Upon assessment, the nurse notes vital signs are B/P 130/92 mmHg, heart rate 130 bpm, respiratory rate 18 bpm, and oxygen saturation of 98% in room air. The nurse puts the client on the cardiac monitor. What does the nurse anticipate will be the prescription by the medical provider?
Correct Answer: B
Rationale: The client shows signs of dehydration (tachycardia, vomiting, diarrhea), so an IV sodium chloride bolus is anticipated to restore fluid volume.