ATI MED SURG PROCTORED
EXAM Questions and Answers Graded
A+
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
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.
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
EXAM Questions and Answers Graded
A+
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
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.
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
