ATI Med Surg
1. A nurse is caring for client who is expe- b. Perform synchronized car-
riencing supraventricular tachycardia. dioversion.
Upon assessing the client, the nurse
observes the following findings: heart The nurse should perform syn-
rate 200/min, blood pressure 78/40 mm chronized cardioversion for a
Hg, and respiratory rate 30/min. Which client who has supraventricular
of the following actions should then tachycardia.
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? (defibril- ventricular fibrillation and pulse-
lation) less ventricular tachycarida
3. What dysrhythmia are amiodarone and ventricular arrhythmias
lidocaine indicated for?
4. The nurse should initiate CPR for a is pulseless or not breathing
client 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
ing medications should the nurse in- digoxin, are withheld prior to car-
struct the client to withhold for 48 hr dioversion. These medications
prior to cardioversion? can increase ventricular irritabili-
A. Enoxaparin ty and put the client at risk for ven-
B. Metformin tricular fibrillation after the syn-
C. Diazepam chronized countershock of car-
D. Digoxin dioversion
6. _______ are usually given prior to car- Sedatives like diazepam
dioversion to reduce anxiety and mini-
mize discomfort with the procedure.
7.
, ATI Med Surg
Metformin is held before what kind of Ones that involve contrast dye
procedures? Example? Why? like cardiac catheterization, in or-
der to prevent kidney damage.
8. __________ prevent blood clots that Anticoagulants like enoxaparin
can be released into the circulatory sys-
tem after cardioversion.
9. What kind of drugs are withheld prior to cardiac glycosides like digoxin
cardioversion?
10. exopthalmosis condition produced by hyperthy-
roidism in which the eyeballs pro-
trude beyond their normal protec-
tive orbit because of swelling in
the tissues behind them
11. entropion the inversion of the edge of an
eyelid
12. ectropion the eversion of the edge of an
eyelid
13. ptosis drooping
, ATI Med Surg
14. A nurse is caring for a client who has C. Instruct the client to allow
emphysema and is receiving mechani- the machine to breathe for them.
cal ventilation. The client appears anx- When providing client care, the
ious and restless, and the high-pres- nurse should first use the least re-
sure alarm is sounding. Which of the strictive intervention. Therefore,
following actions should the nurse take the first action the nurse should
first? take is to provide verbal instruc-
A. Obtain ABGs. tions and emotional support to
B. Administer propofol to the client. help the client relax and allow
C. Instruct the client to allow the ma- the ventilator to work. Clients can
chine to breathe for them. exhibit anxiety and restlessness
D. Disconnect the machine and manual- when trying to "fight the ventila-
ly ventilate the client. tor."
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 mon- magnesium
itor what electrolyte level?
17. What kind of respirations occur with hy- shallow respirations due to respi-
pokalemia and why? ratory muscle weakness
18. Trosseau's sign evaluates for what elec- hypocalcelmia and hypomagne-
trolyte imbalances? semia
19. What is hypokalemia's effect on the GI It decreases smooth muscle con-
system? traction leading to decreased
, ATI Med Surg
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. What should be done if you are perform- Listen with the client on their left
ing a cardiac assessment on a client side so it can be heard more
and you hear a murmur? clearly
23. A nurse is conducting an admission A. History of asthma
history for a client who is to undergo
a CT scan with an IV contrast agent. A client who has a history of asth-
The nurse should identify that which of ma has a greater risk of reacting
the following findings requires further to the contrast dye used during
assessment? the procedure. Other conditions
A. History of asthma that can result in a reaction to
B. Appendectomy 1 year ago contrast media include allergies
C. Penicillin allergy to foods, such as shellfish, eggs,
D. Total knee arthroplasty 6 months ago milk, and chocolate.
24. What are conditions that may cause history of asthma and allergies to
a reaction to contrast media? Patients shellfish, eggs, milk, and choco-
with these conditions require further late
screening before a procedure with IV
contrast.
25. What drugs would warrant further aminoglycosides, NSAIDs, met-
screening for increased risk of renal formin
damage in someone getting a proce-
dure with IV contrast?
26. Patients with what conditions have an history of diabetes mellitus, renal
increased risk for renal damage from a impairment, or heart failure
procedure with IV contrast?
27.
1. A nurse is caring for client who is expe- b. Perform synchronized car-
riencing supraventricular tachycardia. dioversion.
Upon assessing the client, the nurse
observes the following findings: heart The nurse should perform syn-
rate 200/min, blood pressure 78/40 mm chronized cardioversion for a
Hg, and respiratory rate 30/min. Which client who has supraventricular
of the following actions should then tachycardia.
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? (defibril- ventricular fibrillation and pulse-
lation) less ventricular tachycarida
3. What dysrhythmia are amiodarone and ventricular arrhythmias
lidocaine indicated for?
4. The nurse should initiate CPR for a is pulseless or not breathing
client 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
ing medications should the nurse in- digoxin, are withheld prior to car-
struct the client to withhold for 48 hr dioversion. These medications
prior to cardioversion? can increase ventricular irritabili-
A. Enoxaparin ty and put the client at risk for ven-
B. Metformin tricular fibrillation after the syn-
C. Diazepam chronized countershock of car-
D. Digoxin dioversion
6. _______ are usually given prior to car- Sedatives like diazepam
dioversion to reduce anxiety and mini-
mize discomfort with the procedure.
7.
, ATI Med Surg
Metformin is held before what kind of Ones that involve contrast dye
procedures? Example? Why? like cardiac catheterization, in or-
der to prevent kidney damage.
8. __________ prevent blood clots that Anticoagulants like enoxaparin
can be released into the circulatory sys-
tem after cardioversion.
9. What kind of drugs are withheld prior to cardiac glycosides like digoxin
cardioversion?
10. exopthalmosis condition produced by hyperthy-
roidism in which the eyeballs pro-
trude beyond their normal protec-
tive orbit because of swelling in
the tissues behind them
11. entropion the inversion of the edge of an
eyelid
12. ectropion the eversion of the edge of an
eyelid
13. ptosis drooping
, ATI Med Surg
14. A nurse is caring for a client who has C. Instruct the client to allow
emphysema and is receiving mechani- the machine to breathe for them.
cal ventilation. The client appears anx- When providing client care, the
ious and restless, and the high-pres- nurse should first use the least re-
sure alarm is sounding. Which of the strictive intervention. Therefore,
following actions should the nurse take the first action the nurse should
first? take is to provide verbal instruc-
A. Obtain ABGs. tions and emotional support to
B. Administer propofol to the client. help the client relax and allow
C. Instruct the client to allow the ma- the ventilator to work. Clients can
chine to breathe for them. exhibit anxiety and restlessness
D. Disconnect the machine and manual- when trying to "fight the ventila-
ly ventilate the client. tor."
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 mon- magnesium
itor what electrolyte level?
17. What kind of respirations occur with hy- shallow respirations due to respi-
pokalemia and why? ratory muscle weakness
18. Trosseau's sign evaluates for what elec- hypocalcelmia and hypomagne-
trolyte imbalances? semia
19. What is hypokalemia's effect on the GI It decreases smooth muscle con-
system? traction leading to decreased
, ATI Med Surg
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. What should be done if you are perform- Listen with the client on their left
ing a cardiac assessment on a client side so it can be heard more
and you hear a murmur? clearly
23. A nurse is conducting an admission A. History of asthma
history for a client who is to undergo
a CT scan with an IV contrast agent. A client who has a history of asth-
The nurse should identify that which of ma has a greater risk of reacting
the following findings requires further to the contrast dye used during
assessment? the procedure. Other conditions
A. History of asthma that can result in a reaction to
B. Appendectomy 1 year ago contrast media include allergies
C. Penicillin allergy to foods, such as shellfish, eggs,
D. Total knee arthroplasty 6 months ago milk, and chocolate.
24. What are conditions that may cause history of asthma and allergies to
a reaction to contrast media? Patients shellfish, eggs, milk, and choco-
with these conditions require further late
screening before a procedure with IV
contrast.
25. What drugs would warrant further aminoglycosides, NSAIDs, met-
screening for increased risk of renal formin
damage in someone getting a proce-
dure with IV contrast?
26. Patients with what conditions have an history of diabetes mellitus, renal
increased risk for renal damage from a impairment, or heart failure
procedure with IV contrast?
27.
