1
ATI MED SURG RETAKE EXAM ALIGNED WITH
CHAMBERLAIN UNIVERSITY CURRICULUM TOPICS
2026 JUST RELEASED VERSION
A nurse is caring for client who is experiencing supraventricular
tachycardia. Upon assessing the client, the nurse observes the
following findings: heart rate 200/min, blood pressure 78/40 mm Hg,
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 resuscitation.
d. Administer lidocaine IV bolus. - CORRECT ANSWER b. Perform
synchronized cardioversion.
The nurse should perform synchronized cardioversion for a client who
has supraventricular tachycardia.
What rhythms are shockable? (defibrillation) - CORRECT ANSWER
ventricular fibrillation and pulseless ventricular tachycarida
What dysrhythmia are amiodarone and lidocaine indicated for? -
CORRECT ANSWER ventricular arrhythmias
The nurse should initiate CPR for a client who what? - CORRECT
ANSWER is pulseless or not breathing
A nurse is preparing a client who has supraventricular tachycardia for
elective cardioversion. Which of the following medications should the
nurse instruct the client to withhold for 48 hr prior to cardioversion?
A. Enoxaparin
B. Metformin
C. Diazepam
,2
D. Digoxin - CORRECT ANSWER D. digoxin
Cardiac glycosides, such as digoxin, are withheld prior to
cardioversion. These medications can increase ventricular irritability
and put the client at risk for ventricular fibrillation after the
synchronized countershock of cardioversion
are usually given prior to cardioversion to reduce anxiety and
minimize discomfort with the procedure. - CORRECT ANSWER
Sedatives like diazepam
Metformin is held before what kind of procedures? Example? Why? -
CORRECT ANSWER Ones that involve contrast dye like cardiac
catheterization, in order to prevent kidney damage.
prevent blood clots that can be released into the circulatory
system after cardioversion. - CORRECT ANSWER Anticoagulants like
enoxaparin
What kind of drugs are withheld prior to cardioversion? - CORRECT
ANSWER cardiac glycosides like digoxin
exopthalmosis - CORRECT ANSWER condition produced by
hyperthyroidism in which the eyeballs protrude beyond their normal
protective orbit because of swelling in the tissues behind them
entropion - CORRECT ANSWER the inversion of the edge of an eyelid
ectropion - CORRECT ANSWER the eversion of the edge of an eyelid
ptosis - CORRECT ANSWER drooping
A nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. The client appears anxious and restless, and
the high-pressure alarm is sounding. Which of the following actions
should the nurse take first?
A. Obtain ABGs.
B. Administer propofol to the client.
,3
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client. -
CORRECT ANSWER C. Instruct the client to allow the machine to
breathe for them. When providing client care, the nurse should first
use the least restrictive intervention. Therefore, the first action the
nurse should take is to provide verbal instructions and emotional
support to help the client relax and allow the ventilator to work.
Clients can exhibit anxiety and restlessness when trying to "fight the
ventilator."
A nurse is caring for a client who has a potassium level of 3. Which of
the following assessment findings should the nurse expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds - CORRECT ANSWER D. Hypoactive
bowel sounds
Deep tendon reflexes are used to monitor what electrolyte level? -
CORRECT ANSWER magnesium
What kind of respirations occur with hypokalemia and why? -
CORRECT ANSWER shallow respirations due to respiratory muscle
weakness
Trosseau's sign evaluates for what electrolyte imbalances? - CORRECT
ANSWER hypocalcelmia and hypomagnesemia
What is hypokalemia's effect on the GI system? - CORRECT ANSWER
It decreases smooth muscle contraction leading to decreased
peristalsis and hypoactive bowel sounds.
Deep tendon reflexes in hypomagnesemia - CORRECT ANSWER
increased e.g. 4+
Deep tendon reflexes in hypermagnesemia - CORRECT ANSWER
decreased e.g. absent or 1+
, 4
What should be done if you are performing a cardiac assessment on a
client and you hear a murmur? - CORRECT ANSWER Listen with the
client on their left side so it can be heard more clearly
A nurse is conducting an admission history for a client who is to
undergo a CT scan with an IV contrast agent. The nurse should
identify that which of the following findings requires further
assessment?
A. History of asthma
B. Appendectomy 1 year ago
C. Penicillin allergy
D. Total knee arthroplasty 6 months ago - CORRECT ANSWER A.
History of asthma
A client who has a history of asthma has a greater risk of reacting to
the contrast dye used during the procedure. Other conditions that can
result in a reaction to contrast media include allergies to foods, such
as shellfish, eggs, milk, and chocolate.
What are conditions that may cause a reaction to contrast media?
Patients with these conditions require further screening before a
procedure with IV contrast. - CORRECT ANSWER history of asthma
and allergies to shellfish, eggs, milk, and chocolate
What drugs would warrant further screening for increased risk of renal
damage in someone getting a procedure with IV contrast? - CORRECT
ANSWER aminoglycosides, NSAIDs, metformin
Patients with what conditions have an increased risk for renal damage
from a procedure with IV contrast? - CORRECT ANSWER history of
diabetes mellitus, renal impairment, or heart failure
A nurse is an ED is reviewing the provider's prescriptions for a client
who sustained a rattlesnake bite to the lower leg. Which of the
following prescriptions should the nurse expect?
A. Apply ice to the clients puncture wounds
B. Initiate corticosteroid therapy for the client
C. Keep the client's leg above heart level
ATI MED SURG RETAKE EXAM ALIGNED WITH
CHAMBERLAIN UNIVERSITY CURRICULUM TOPICS
2026 JUST RELEASED VERSION
A nurse is caring for client who is experiencing supraventricular
tachycardia. Upon assessing the client, the nurse observes the
following findings: heart rate 200/min, blood pressure 78/40 mm Hg,
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 resuscitation.
d. Administer lidocaine IV bolus. - CORRECT ANSWER b. Perform
synchronized cardioversion.
The nurse should perform synchronized cardioversion for a client who
has supraventricular tachycardia.
What rhythms are shockable? (defibrillation) - CORRECT ANSWER
ventricular fibrillation and pulseless ventricular tachycarida
What dysrhythmia are amiodarone and lidocaine indicated for? -
CORRECT ANSWER ventricular arrhythmias
The nurse should initiate CPR for a client who what? - CORRECT
ANSWER is pulseless or not breathing
A nurse is preparing a client who has supraventricular tachycardia for
elective cardioversion. Which of the following medications should the
nurse instruct the client to withhold for 48 hr prior to cardioversion?
A. Enoxaparin
B. Metformin
C. Diazepam
,2
D. Digoxin - CORRECT ANSWER D. digoxin
Cardiac glycosides, such as digoxin, are withheld prior to
cardioversion. These medications can increase ventricular irritability
and put the client at risk for ventricular fibrillation after the
synchronized countershock of cardioversion
are usually given prior to cardioversion to reduce anxiety and
minimize discomfort with the procedure. - CORRECT ANSWER
Sedatives like diazepam
Metformin is held before what kind of procedures? Example? Why? -
CORRECT ANSWER Ones that involve contrast dye like cardiac
catheterization, in order to prevent kidney damage.
prevent blood clots that can be released into the circulatory
system after cardioversion. - CORRECT ANSWER Anticoagulants like
enoxaparin
What kind of drugs are withheld prior to cardioversion? - CORRECT
ANSWER cardiac glycosides like digoxin
exopthalmosis - CORRECT ANSWER condition produced by
hyperthyroidism in which the eyeballs protrude beyond their normal
protective orbit because of swelling in the tissues behind them
entropion - CORRECT ANSWER the inversion of the edge of an eyelid
ectropion - CORRECT ANSWER the eversion of the edge of an eyelid
ptosis - CORRECT ANSWER drooping
A nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. The client appears anxious and restless, and
the high-pressure alarm is sounding. Which of the following actions
should the nurse take first?
A. Obtain ABGs.
B. Administer propofol to the client.
,3
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client. -
CORRECT ANSWER C. Instruct the client to allow the machine to
breathe for them. When providing client care, the nurse should first
use the least restrictive intervention. Therefore, the first action the
nurse should take is to provide verbal instructions and emotional
support to help the client relax and allow the ventilator to work.
Clients can exhibit anxiety and restlessness when trying to "fight the
ventilator."
A nurse is caring for a client who has a potassium level of 3. Which of
the following assessment findings should the nurse expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds - CORRECT ANSWER D. Hypoactive
bowel sounds
Deep tendon reflexes are used to monitor what electrolyte level? -
CORRECT ANSWER magnesium
What kind of respirations occur with hypokalemia and why? -
CORRECT ANSWER shallow respirations due to respiratory muscle
weakness
Trosseau's sign evaluates for what electrolyte imbalances? - CORRECT
ANSWER hypocalcelmia and hypomagnesemia
What is hypokalemia's effect on the GI system? - CORRECT ANSWER
It decreases smooth muscle contraction leading to decreased
peristalsis and hypoactive bowel sounds.
Deep tendon reflexes in hypomagnesemia - CORRECT ANSWER
increased e.g. 4+
Deep tendon reflexes in hypermagnesemia - CORRECT ANSWER
decreased e.g. absent or 1+
, 4
What should be done if you are performing a cardiac assessment on a
client and you hear a murmur? - CORRECT ANSWER Listen with the
client on their left side so it can be heard more clearly
A nurse is conducting an admission history for a client who is to
undergo a CT scan with an IV contrast agent. The nurse should
identify that which of the following findings requires further
assessment?
A. History of asthma
B. Appendectomy 1 year ago
C. Penicillin allergy
D. Total knee arthroplasty 6 months ago - CORRECT ANSWER A.
History of asthma
A client who has a history of asthma has a greater risk of reacting to
the contrast dye used during the procedure. Other conditions that can
result in a reaction to contrast media include allergies to foods, such
as shellfish, eggs, milk, and chocolate.
What are conditions that may cause a reaction to contrast media?
Patients with these conditions require further screening before a
procedure with IV contrast. - CORRECT ANSWER history of asthma
and allergies to shellfish, eggs, milk, and chocolate
What drugs would warrant further screening for increased risk of renal
damage in someone getting a procedure with IV contrast? - CORRECT
ANSWER aminoglycosides, NSAIDs, metformin
Patients with what conditions have an increased risk for renal damage
from a procedure with IV contrast? - CORRECT ANSWER history of
diabetes mellitus, renal impairment, or heart failure
A nurse is an ED is reviewing the provider's prescriptions for a client
who sustained a rattlesnake bite to the lower leg. Which of the
following prescriptions should the nurse expect?
A. Apply ice to the clients puncture wounds
B. Initiate corticosteroid therapy for the client
C. Keep the client's leg above heart level
