ATI Med Surg Exam 1 Latest Update
2025/2026
With Complete Questions And Correct
Explanation Assured Success
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. --100%CORRECT VERIFAID ANSWER-b. Perform
synchronized cardioversion.
The nurse should perform synchronized cardioversion for a client who has
supraventricular tachycardia.
,What rhythms are shockable? (defibrillation) --100%CORRECT VERIFAID ANSWER-
ventricular fibrillation and pulseless ventricular tachycarida
What dysrhythmia are amiodarone and lidocaine indicated for? --100%CORRECT
VERIFAID ANSWER-ventricular arrhythmias
The nurse should initiate CPR for a client who what? --100%CORRECT VERIFAID
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
D. Digoxin --100%CORRECT VERIFAID 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. --100%CORRECT VERIFAID ANSWER-Sedatives like
diazepam
Metformin is held before what kind of procedures? Example? Why? --100%CORRECT
VERIFAID 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. --100%CORRECT VERIFAID ANSWER-Anticoagulants like enoxaparin
What kind of drugs are withheld prior to cardioversion? --100%CORRECT VERIFAID
ANSWER-cardiac glycosides like digoxin
exopthalmosis --100%CORRECT VERIFAID ANSWER-condition produced by
hyperthyroidism in which the
eyeballs protrude beyond their normal protective orbit because of swelling in the tissues
behind them
,entropion --100%CORRECT VERIFAID ANSWER-the inversion of the edge of an eyelid
ectropion --100%CORRECT VERIFAID ANSWER-the eversion of the edge of an eyelid
ptosis --100%CORRECT VERIFAID 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.
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client. --100%CORRECT
VERIFAID 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 --100%CORRECT VERIFAID ANSWER-D. Hypoactive
bowel sounds
Deep tendon reflexes are used to monitor what electrolyte level? --100%CORRECT
VERIFAID ANSWER-magnesium
What kind of respirations occur with hypokalemia and why? --100%CORRECT
VERIFAID ANSWER-shallow respirations due to respiratory muscle weakness
Trosseau's sign evaluates for what electrolyte imbalances? --100%CORRECT
VERIFAID ANSWER-hypocalcelmia and hypomagnesemia
What is hypokalemia's effect on the GI system? --100%CORRECT VERIFAID
ANSWER-It decreases smooth muscle contraction leading to decreased peristalsis and
hypoactive bowel sounds.
Deep tendon reflexes in hypomagnesemia --100%CORRECT VERIFAID ANSWER-
increased e.g. 4+
Deep tendon reflexes in hypermagnesemia --100%CORRECT VERIFAID ANSWER-
decreased e.g. absent or 1+
, What should be done if you are performing a cardiac assessment on a client and you
hear a murmur? --100%CORRECT VERIFAID 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 --100%CORRECT VERIFAID 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.
2025/2026
With Complete Questions And Correct
Explanation Assured Success
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. --100%CORRECT VERIFAID ANSWER-b. Perform
synchronized cardioversion.
The nurse should perform synchronized cardioversion for a client who has
supraventricular tachycardia.
,What rhythms are shockable? (defibrillation) --100%CORRECT VERIFAID ANSWER-
ventricular fibrillation and pulseless ventricular tachycarida
What dysrhythmia are amiodarone and lidocaine indicated for? --100%CORRECT
VERIFAID ANSWER-ventricular arrhythmias
The nurse should initiate CPR for a client who what? --100%CORRECT VERIFAID
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
D. Digoxin --100%CORRECT VERIFAID 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. --100%CORRECT VERIFAID ANSWER-Sedatives like
diazepam
Metformin is held before what kind of procedures? Example? Why? --100%CORRECT
VERIFAID 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. --100%CORRECT VERIFAID ANSWER-Anticoagulants like enoxaparin
What kind of drugs are withheld prior to cardioversion? --100%CORRECT VERIFAID
ANSWER-cardiac glycosides like digoxin
exopthalmosis --100%CORRECT VERIFAID ANSWER-condition produced by
hyperthyroidism in which the
eyeballs protrude beyond their normal protective orbit because of swelling in the tissues
behind them
,entropion --100%CORRECT VERIFAID ANSWER-the inversion of the edge of an eyelid
ectropion --100%CORRECT VERIFAID ANSWER-the eversion of the edge of an eyelid
ptosis --100%CORRECT VERIFAID 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.
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client. --100%CORRECT
VERIFAID 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 --100%CORRECT VERIFAID ANSWER-D. Hypoactive
bowel sounds
Deep tendon reflexes are used to monitor what electrolyte level? --100%CORRECT
VERIFAID ANSWER-magnesium
What kind of respirations occur with hypokalemia and why? --100%CORRECT
VERIFAID ANSWER-shallow respirations due to respiratory muscle weakness
Trosseau's sign evaluates for what electrolyte imbalances? --100%CORRECT
VERIFAID ANSWER-hypocalcelmia and hypomagnesemia
What is hypokalemia's effect on the GI system? --100%CORRECT VERIFAID
ANSWER-It decreases smooth muscle contraction leading to decreased peristalsis and
hypoactive bowel sounds.
Deep tendon reflexes in hypomagnesemia --100%CORRECT VERIFAID ANSWER-
increased e.g. 4+
Deep tendon reflexes in hypermagnesemia --100%CORRECT VERIFAID ANSWER-
decreased e.g. absent or 1+
, What should be done if you are performing a cardiac assessment on a client and you
hear a murmur? --100%CORRECT VERIFAID 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 --100%CORRECT VERIFAID 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.
