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 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
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.
Extract:
Read orders by the prescriber and answer the question.
Prescriber's orders
Labs: PT, PTT, INR
Unsupervised ambulation every 1 hr
Give protamine sulfate STAT
Give Aspirin orally daily
Continue unrestricted regular diet
Give vitamin K STAT
Initiate bleeding precautions
Question 4 of 5
A nurse is admitting a client who has been in Atrial Fibrillation for 24 hours. Which of the following interventions does the nurse plan to complete?
Correct Answer: A,B,C,D
Rationale: For atrial fibrillation over 24 hours, anticoagulation (heparin, Coumadin) is planned to prevent thromboembolism, labs monitor clotting, and vitamin K reverses anticoagulation if needed.
Extract:
Question 5 of 5
A client has with Angina has been ordered to take sublingual NTG tablets. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Sublingual nitroglycerin (NTG) should be placed under the tongue while sitting or lying to enhance absorption and reduce risk of dizziness from vasodilation, taken at the onset of chest pain.