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
The charge nurse is making assignments for clients on a cardiac unit. Which client should the charge nurse assign to a new graduate nurse?
Correct Answer: C
Rationale: A stable client scheduled for a procedure with teaching needs is appropriate for a new graduate, as it involves less acute management compared to MI, chest pain, or unstable angina.
Question 3 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.
Question 4 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.
Question 5 of 5
A nurse is teaching a client with a new atrial fibrillation diagnosis on worsening signs and symptoms. The nurse should instruct the client to monitor for which of the following complications?
Correct Answer: B
Rationale: Slurred speech could indicate a stroke, a potential complication of atrial fibrillation due to thromboembolism from atrial stasis.