ATI MED SURG PART A 2026 CERTIFICATION
SCRIPT TESTED QUESTIONS AND FULL
SOLUTION
◉ What rhythms are shockable? (defibrillation) Answer: ventricular
fibrillation and pulseless ventricular tachycarida
◉ What dysrhythmia are amiodarone and lidocaine indicated for?
Answer: ventricular arrhythmias
◉ The nurse should initiate CPR for a client who what? 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 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. Answer: Sedatives like
diazepam
◉ Metformin is held before what kind of procedures? Example?
Why? 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. Answer: Anticoagulants like
enoxaparin
◉ What kind of drugs are withheld prior to cardioversion? Answer:
cardiac glycosides like digoxin
◉ exopthalmosis Answer: condition produced by hyperthyroidism
in which the eyeballs protrude beyond their normal protective orbit
because of swelling in the tissues behind them
◉ entropion Answer: the inversion of the edge of an eyelid
,◉ ectropion Answer: the eversion of the edge of an eyelid
◉ ptosis 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.
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 Answer: D. Hypoactive bowel sounds
◉ Deep tendon reflexes are used to monitor what electrolyte level?
Answer: magnesium
◉ What kind of respirations occur with hypokalemia and why?
Answer: shallow respirations due to respiratory muscle weakness
◉ Trosseau's sign evaluates for what electrolyte imbalances?
Answer: hypocalcelmia and hypomagnesemia
◉ What is hypokalemia's effect on the GI system? Answer: It
decreases smooth muscle contraction leading to decreased
peristalsis and hypoactive bowel sounds.
◉ Deep tendon reflexes in hypomagnesemia Answer: increased e.g.
4+
◉ Deep tendon reflexes in hypermagnesemia Answer: decreased e.g.
absent or 1+
SCRIPT TESTED QUESTIONS AND FULL
SOLUTION
◉ What rhythms are shockable? (defibrillation) Answer: ventricular
fibrillation and pulseless ventricular tachycarida
◉ What dysrhythmia are amiodarone and lidocaine indicated for?
Answer: ventricular arrhythmias
◉ The nurse should initiate CPR for a client who what? 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 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. Answer: Sedatives like
diazepam
◉ Metformin is held before what kind of procedures? Example?
Why? 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. Answer: Anticoagulants like
enoxaparin
◉ What kind of drugs are withheld prior to cardioversion? Answer:
cardiac glycosides like digoxin
◉ exopthalmosis Answer: condition produced by hyperthyroidism
in which the eyeballs protrude beyond their normal protective orbit
because of swelling in the tissues behind them
◉ entropion Answer: the inversion of the edge of an eyelid
,◉ ectropion Answer: the eversion of the edge of an eyelid
◉ ptosis 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.
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 Answer: D. Hypoactive bowel sounds
◉ Deep tendon reflexes are used to monitor what electrolyte level?
Answer: magnesium
◉ What kind of respirations occur with hypokalemia and why?
Answer: shallow respirations due to respiratory muscle weakness
◉ Trosseau's sign evaluates for what electrolyte imbalances?
Answer: hypocalcelmia and hypomagnesemia
◉ What is hypokalemia's effect on the GI system? Answer: It
decreases smooth muscle contraction leading to decreased
peristalsis and hypoactive bowel sounds.
◉ Deep tendon reflexes in hypomagnesemia Answer: increased e.g.
4+
◉ Deep tendon reflexes in hypermagnesemia Answer: decreased e.g.
absent or 1+
