ATI MED SURG PROCTORED EXAM 2023 PART A REAL EXAM 200 QUESTION
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS
Study online at https://quizlet.com/_ibl8rv
1. A nurse is caring for client who is expe- b. Perform synchronized cardioversion.
riencing supraventricular tachycardia.
Upon assessing the client, the nurse ob- The nurse should perform synchronized car-
serves the following findings: heart rate dioversion for a client who has supraventricular
200/min, blood pressure 78/40 mm Hg, tachycardia.
and respiratory rate 30/min. Which of
the following actions should then nurse
take?
a. Defibrillate the client's heart.
b. Perform synchronized cardioversion.
c. Begin cardiopulmonary resuscita-
tion.
d. Administer lidocaine IV bolus.
2. What rhythms are shockable? (defibrilla- ventricular fibrillation and pulseless ventricular
tion) tachycarida
3. What dysrhythmia are amiodarone and ventricular arrhythmias
lidocaine indicated for?
4. The nurse should initiate CPR for a client is pulseless or not breathing
who what?
5. A nurse is preparing a client who has D. digoxin
supraventricular tachycardia for elec-
tive cardioversion. Which of the follow- Cardiac glycosides, such as digoxin, are with-
ing medications should the nurse in- held prior to cardioversion. These medications
struct the client to withhold for 48 hr can increase ventricular irritability and put the
prior to cardioversion? client at risk for ventricular fibrillation after the
A. Enoxaparin synchronized countershock of cardioversion
B. Metformin
, ATI MED SURG PROCTORED EXAM 2023 PART A REAL EXAM 200 QUESTION
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS
Study online at https://quizlet.com/_ibl8rv
C. Diazepam
D. Digoxin
6. _______ are usually given prior to car- Sedatives like diazepam
dioversion to reduce anxiety and mini-
mize discomfort with the procedure.
7. Metformin is held before what kind of Ones that involve contrast dye like cardiac
procedures? Example? Why? catheterization, in order to prevent kidney dam-
age.
8. __________ prevent blood clots that can Anticoagulants like enoxaparin
be released into the circulatory system
after cardioversion.
9. What kind of drugs are withheld prior to cardiac glycosides like digoxin
cardioversion?
10. exopthalmosis condition produced by hyperthyroidism in
which the eyeballs protrude beyond their nor-
mal protective orbit because of swelling in the
tissues behind them
11. entropion the inversion of the edge of an eyelid
, ATI MED SURG PROCTORED EXAM 2023 PART A REAL EXAM 200 QUESTION
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS
Study online at https://quizlet.com/_ibl8rv
12. ectropion the eversion of the edge of an eyelid
13. ptosis drooping
14. A nurse is caring for a client who has C. Instruct the client to allow the machine to
emphysema and is receiving mechani- breathe for them. When providing client care,
cal ventilation. The client appears anx- the nurse should first use the least restrictive in-
ious and restless, and the high-pressure tervention. Therefore, the first action the nurse
alarm is sounding. Which of the follow- should take is to provide verbal instructions and
ing actions should the nurse take first? emotional support to help the client relax and
A. Obtain ABGs. allow the ventilator to work. Clients can exhibit
B. Administer propofol to the client. anxiety and restlessness when trying to "fight
C. Instruct the client to allow the ma- the ventilator."
chine to breathe for them.
, ATI MED SURG PROCTORED EXAM 2023 PART A REAL EXAM 200 QUESTION
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS
Study online at https://quizlet.com/_ibl8rv
D. Disconnect the machine and manual-
ly ventilate the client.
15. A nurse is caring for a client who has a D. Hypoactive bowel sounds
potassium level of 3. Which of the fol-
lowing assessment findings should the
nurse expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds
16. Deep tendon reflexes are used to moni- magnesium
tor what electrolyte level?
17. What kind of respirations occur with hy- shallow respirations due to respiratory muscle
pokalemia and why? weakness
18. Trosseau's sign evaluates for what elec- hypocalcelmia and hypomagnesemia
trolyte imbalances?
19. What is hypokalemia's effect on the GI It decreases smooth muscle contraction lead-
system? ing to decreased peristalsis and hypoactive
bowel sounds.
20. Deep tendon reflexes in hypomagne- increased e.g. 4+
semia
21. Deep tendon reflexes in hypermagne- decreased e.g. absent or 1+
semia
22. Listen with the client on their left side so it can
be heard more clearly
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS
Study online at https://quizlet.com/_ibl8rv
1. A nurse is caring for client who is expe- b. Perform synchronized cardioversion.
riencing supraventricular tachycardia.
Upon assessing the client, the nurse ob- The nurse should perform synchronized car-
serves the following findings: heart rate dioversion for a client who has supraventricular
200/min, blood pressure 78/40 mm Hg, tachycardia.
and respiratory rate 30/min. Which of
the following actions should then nurse
take?
a. Defibrillate the client's heart.
b. Perform synchronized cardioversion.
c. Begin cardiopulmonary resuscita-
tion.
d. Administer lidocaine IV bolus.
2. What rhythms are shockable? (defibrilla- ventricular fibrillation and pulseless ventricular
tion) tachycarida
3. What dysrhythmia are amiodarone and ventricular arrhythmias
lidocaine indicated for?
4. The nurse should initiate CPR for a client is pulseless or not breathing
who what?
5. A nurse is preparing a client who has D. digoxin
supraventricular tachycardia for elec-
tive cardioversion. Which of the follow- Cardiac glycosides, such as digoxin, are with-
ing medications should the nurse in- held prior to cardioversion. These medications
struct the client to withhold for 48 hr can increase ventricular irritability and put the
prior to cardioversion? client at risk for ventricular fibrillation after the
A. Enoxaparin synchronized countershock of cardioversion
B. Metformin
, ATI MED SURG PROCTORED EXAM 2023 PART A REAL EXAM 200 QUESTION
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS
Study online at https://quizlet.com/_ibl8rv
C. Diazepam
D. Digoxin
6. _______ are usually given prior to car- Sedatives like diazepam
dioversion to reduce anxiety and mini-
mize discomfort with the procedure.
7. Metformin is held before what kind of Ones that involve contrast dye like cardiac
procedures? Example? Why? catheterization, in order to prevent kidney dam-
age.
8. __________ prevent blood clots that can Anticoagulants like enoxaparin
be released into the circulatory system
after cardioversion.
9. What kind of drugs are withheld prior to cardiac glycosides like digoxin
cardioversion?
10. exopthalmosis condition produced by hyperthyroidism in
which the eyeballs protrude beyond their nor-
mal protective orbit because of swelling in the
tissues behind them
11. entropion the inversion of the edge of an eyelid
, ATI MED SURG PROCTORED EXAM 2023 PART A REAL EXAM 200 QUESTION
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS
Study online at https://quizlet.com/_ibl8rv
12. ectropion the eversion of the edge of an eyelid
13. ptosis drooping
14. A nurse is caring for a client who has C. Instruct the client to allow the machine to
emphysema and is receiving mechani- breathe for them. When providing client care,
cal ventilation. The client appears anx- the nurse should first use the least restrictive in-
ious and restless, and the high-pressure tervention. Therefore, the first action the nurse
alarm is sounding. Which of the follow- should take is to provide verbal instructions and
ing actions should the nurse take first? emotional support to help the client relax and
A. Obtain ABGs. allow the ventilator to work. Clients can exhibit
B. Administer propofol to the client. anxiety and restlessness when trying to "fight
C. Instruct the client to allow the ma- the ventilator."
chine to breathe for them.
, ATI MED SURG PROCTORED EXAM 2023 PART A REAL EXAM 200 QUESTION
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS
Study online at https://quizlet.com/_ibl8rv
D. Disconnect the machine and manual-
ly ventilate the client.
15. A nurse is caring for a client who has a D. Hypoactive bowel sounds
potassium level of 3. Which of the fol-
lowing assessment findings should the
nurse expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds
16. Deep tendon reflexes are used to moni- magnesium
tor what electrolyte level?
17. What kind of respirations occur with hy- shallow respirations due to respiratory muscle
pokalemia and why? weakness
18. Trosseau's sign evaluates for what elec- hypocalcelmia and hypomagnesemia
trolyte imbalances?
19. What is hypokalemia's effect on the GI It decreases smooth muscle contraction lead-
system? ing to decreased peristalsis and hypoactive
bowel sounds.
20. Deep tendon reflexes in hypomagne- increased e.g. 4+
semia
21. Deep tendon reflexes in hypermagne- decreased e.g. absent or 1+
semia
22. Listen with the client on their left side so it can
be heard more clearly
