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ATI RN nsg 232 exam Med Surg
A nurse is caring for a client with chest pain who suddenly becomes unresponsive. The client is
pulseless, and apneic. The code team places the client on the monitor which indicates ventricular
fibrillation, what is the next priority action?
A. Amiodarone administration 0%
B. Synchronized Cardioversion 0%
C. Epinephrine administration 18%
D. Defibrillation 81% Most selected
Answer and Explanation
Choice A:
Amiodarone administration is used for the treatment of ventricular fibrillation (VF) and ventricular
tachycardia (VT) that is unresponsive to cardioversion.
Choice B:
Synchronized Cardioversion is used for the treatment of atrial fibrillation (AF), atrial flutter (AFL), and
unstable ventricular tachycardia (VT).
Choice C:
Epinephrine administration is part of the ACLS algorithm for the treatment of VF and pulseless VT. It
is given after defibrillation.
Choice D:
Defibrillation is the immediate treatment for ventricular fibrillation (VF) and pulseless ventricular
tachycardia (VT).
,A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting.
Which of the following should the nurse include as a risk factor for the development of
hypertension?
A. Obstructive sleep apnea (OSA) 50% Most selected
B. Taking benazepril 10%
C. High-density lipoprotein (HDL) level of 70 mg/dL 40%
D. A regular exercise routine 0%
Answer and Explanation
Choice A:
Obstructive sleep apnea is a risk factor for the development of hypertension.
Choice B:
Benazepril is an antihypertensive medication and is not a risk factor for hypertension.
Choice C:
A high HDL level is a protective factor against the development of hypertension.
Choice D:
A regular exercise routine is a protective factor against the development of hypertension.
A nurse is caring for a client with an acute myocardial infarction (AMI). The nurse is preparing
medications for the client and recognizes that which medication will dilate the client’s coronary
blood vessels?
, A. Alteplase (fibrinolytics) 0%
B. IV Nitroglycerine 63% Most selected
C. Metoprolol (beta blockers) 27%
D. IV Heparin 9%
Answer and Explanation
Choice A:
Alteplase (fibrinolytics) is used to dissolve clots in coronary arteries during an acute myocardial
infarction (AMI).
Choice B:
IV Nitroglycerine is a vasodilator that dilates coronary blood vessels, increasing blood flow to the
myocardium.
Choice C:
Metoprolol (beta blockers) are used to decrease heart rate, blood pressure, and myocardial oxygen
demand.
Choice D:
IV Heparin is used to prevent further clot formation in coronary arteries during an acute myocardial
infarction (AMI).
A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is
receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk
for what electrolyte imbalance?
A. Hypocalcemia 10%
B. Hypernatremia 0%
C. Hyperkalemia 0%
D. Hypokalemia 90% Most selected
gn Up Now
ATI RN nsg 232 exam Med Surg
A nurse is caring for a client with chest pain who suddenly becomes unresponsive. The client is
pulseless, and apneic. The code team places the client on the monitor which indicates ventricular
fibrillation, what is the next priority action?
A. Amiodarone administration 0%
B. Synchronized Cardioversion 0%
C. Epinephrine administration 18%
D. Defibrillation 81% Most selected
Answer and Explanation
Choice A:
Amiodarone administration is used for the treatment of ventricular fibrillation (VF) and ventricular
tachycardia (VT) that is unresponsive to cardioversion.
Choice B:
Synchronized Cardioversion is used for the treatment of atrial fibrillation (AF), atrial flutter (AFL), and
unstable ventricular tachycardia (VT).
Choice C:
Epinephrine administration is part of the ACLS algorithm for the treatment of VF and pulseless VT. It
is given after defibrillation.
Choice D:
Defibrillation is the immediate treatment for ventricular fibrillation (VF) and pulseless ventricular
tachycardia (VT).
,A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting.
Which of the following should the nurse include as a risk factor for the development of
hypertension?
A. Obstructive sleep apnea (OSA) 50% Most selected
B. Taking benazepril 10%
C. High-density lipoprotein (HDL) level of 70 mg/dL 40%
D. A regular exercise routine 0%
Answer and Explanation
Choice A:
Obstructive sleep apnea is a risk factor for the development of hypertension.
Choice B:
Benazepril is an antihypertensive medication and is not a risk factor for hypertension.
Choice C:
A high HDL level is a protective factor against the development of hypertension.
Choice D:
A regular exercise routine is a protective factor against the development of hypertension.
A nurse is caring for a client with an acute myocardial infarction (AMI). The nurse is preparing
medications for the client and recognizes that which medication will dilate the client’s coronary
blood vessels?
, A. Alteplase (fibrinolytics) 0%
B. IV Nitroglycerine 63% Most selected
C. Metoprolol (beta blockers) 27%
D. IV Heparin 9%
Answer and Explanation
Choice A:
Alteplase (fibrinolytics) is used to dissolve clots in coronary arteries during an acute myocardial
infarction (AMI).
Choice B:
IV Nitroglycerine is a vasodilator that dilates coronary blood vessels, increasing blood flow to the
myocardium.
Choice C:
Metoprolol (beta blockers) are used to decrease heart rate, blood pressure, and myocardial oxygen
demand.
Choice D:
IV Heparin is used to prevent further clot formation in coronary arteries during an acute myocardial
infarction (AMI).
A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is
receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk
for what electrolyte imbalance?
A. Hypocalcemia 10%
B. Hypernatremia 0%
C. Hyperkalemia 0%
D. Hypokalemia 90% Most selected
gn Up Now
