ATI-MedSurg RN / ATI MED
SURG RN 2024 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS
VERIFIED ANSWERS ALREADY
GRADED A+
,A nurse is caring for a client with congestive heart failure
whose electrocardiogram shows a flattening of the T wave.
Which of the following lab results should the nurse
anticipate with this EKG? - CORRECT ANSWER-Potassium
level of 2.8
A nurse is assessing for cardiac tamponade on a client who
had a coronary artery bypass grafts. Which of the following
actions should the nurse take? - CORRECT ANSWER-
Auscultate blood pressure for pulsus paradoxus
A nurse is caring for a patient who had an M.I. 24 hours ago,
it is essential for the nurse to watch for ? - CORRECT
ANSWER-Ventricular dysrhythmia. Ischemic tissue can
interfere with normal conduction of the heart and the heart
can have an irritable conduction system after an MI
After vein litigation and vericose stripping a patient should
be positioned how? - CORRECT ANSWER-Supine with legs
elevated 15 degrees. Legs should never dangle over the bed.
Encourage use of continous compression socks.
Monitor extremity for warmth, color, edema, pulses.
Monitor for bleeding through the bandages
,Cardiogenic shock - CORRECT ANSWER-tachycardia, low
blood pressure, weak pulses, cold, clammy, decreased
urinary output and cerebral hypoxia.
, A client with hypovolemic shock will need what ? - CORRECT
ANSWER-0.9% sodium chloride and lactated ringers are
used for acute volume expansion. They are an isotonic
solution that replaces lost volume in the blood stream.
Heparin and coumadin monitoring - CORRECT ANSWER-
Heparin + PTT= 10 letters
Coumadin + PT(INR)= 10 letters
PTT therapeutic levels - CORRECT ANSWER-normal PTT
levels are about 30-45 seconds. The desired effect is 1.5-2
times the norm, so between 60-80 seconds.
Four hours after a fresh frozen plasma transfusion, repeat
lab work is drawn, what should the nurse interpret to
evaluate the patient's response? - CORRECT ANSWER-
Prothrombin time. The desire is a decrease in prothrombin
time. The plasma is rich with clotting factors and given to
those with clotting disorders.
Cardiac enzymes - CORRECT ANSWER-After an MI
CK- elevated 3 to 6 hours for 2-3 days.
Tropinin T- elevated 2-3 hours for 10-14 days.
SURG RN 2024 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS
VERIFIED ANSWERS ALREADY
GRADED A+
,A nurse is caring for a client with congestive heart failure
whose electrocardiogram shows a flattening of the T wave.
Which of the following lab results should the nurse
anticipate with this EKG? - CORRECT ANSWER-Potassium
level of 2.8
A nurse is assessing for cardiac tamponade on a client who
had a coronary artery bypass grafts. Which of the following
actions should the nurse take? - CORRECT ANSWER-
Auscultate blood pressure for pulsus paradoxus
A nurse is caring for a patient who had an M.I. 24 hours ago,
it is essential for the nurse to watch for ? - CORRECT
ANSWER-Ventricular dysrhythmia. Ischemic tissue can
interfere with normal conduction of the heart and the heart
can have an irritable conduction system after an MI
After vein litigation and vericose stripping a patient should
be positioned how? - CORRECT ANSWER-Supine with legs
elevated 15 degrees. Legs should never dangle over the bed.
Encourage use of continous compression socks.
Monitor extremity for warmth, color, edema, pulses.
Monitor for bleeding through the bandages
,Cardiogenic shock - CORRECT ANSWER-tachycardia, low
blood pressure, weak pulses, cold, clammy, decreased
urinary output and cerebral hypoxia.
, A client with hypovolemic shock will need what ? - CORRECT
ANSWER-0.9% sodium chloride and lactated ringers are
used for acute volume expansion. They are an isotonic
solution that replaces lost volume in the blood stream.
Heparin and coumadin monitoring - CORRECT ANSWER-
Heparin + PTT= 10 letters
Coumadin + PT(INR)= 10 letters
PTT therapeutic levels - CORRECT ANSWER-normal PTT
levels are about 30-45 seconds. The desired effect is 1.5-2
times the norm, so between 60-80 seconds.
Four hours after a fresh frozen plasma transfusion, repeat
lab work is drawn, what should the nurse interpret to
evaluate the patient's response? - CORRECT ANSWER-
Prothrombin time. The desire is a decrease in prothrombin
time. The plasma is rich with clotting factors and given to
those with clotting disorders.
Cardiac enzymes - CORRECT ANSWER-After an MI
CK- elevated 3 to 6 hours for 2-3 days.
Tropinin T- elevated 2-3 hours for 10-14 days.
