lOMoARcPSD|28107905
MED Surge HESI RN
Hesi A2 Entrance Exam (Chamberlain
University)
,
,HESI 101 -MED-SURGE HESI RN|HESI MED SURG
STUDY GUIDE|2023-2024 UPDATE|A GRADED|NEW!
1. A client on telemetry has a pattern of uncontrolled atrial fibrillation with a
rapid ventricular response. Based on this finding, the nurse anticipates
assisting the physician with which treatment?
A. Administer lidocaine, 75 mg intravenous push.
B. Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous push.
Rationale:
With uncontrolled atrial fibrillation, the treatment of choice is synchronized
cardioversion to convert the cardiac rhythm back to normal sinus rhythm. Option
A is a medication used for ventricular dysrhythmias. Option C is not for a client
with atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias,
such as ventricular fibrillation and unstable ventricular tachycardia. Option D is
the drug of choice in symptomatic sinus bradycardia, not atrial fibrillation.
2.A practical nurse (PN) tells the charge nurse in a long-term facility that she does
not want to be assigned to one particular resident. She reports that the male client
keeps insisting that she is his daughter and begs her to stay in his room. What is
the best managerial decision?
A. Notify the family that the resident will have to be
discharged if his behavior does not improve.
B. Notify administration of the PN's
insubordination and need for counseling about
her statements.
C. Ask the PN what she has done to encourage
the resident to believe that she is his daughter.
D. Reassign the PN until the resident can be
assessed more completely for reality orientation.
Rationale:
Temporary reassignment is the best option until the resident can be examined and
his medications reviewed. He may have worsening cerebral dysfunction from an
infection or electrolyte imbalance. Option A is not the best option because the
family cannot control the resident's actions. The administration may need to know
, about the situation, but not as a case of insubordination. Implying that the PN is
somehow creating the situation is inappropriate until a further evaluation has been
conducted.
MED Surge HESI RN
Hesi A2 Entrance Exam (Chamberlain
University)
,
,HESI 101 -MED-SURGE HESI RN|HESI MED SURG
STUDY GUIDE|2023-2024 UPDATE|A GRADED|NEW!
1. A client on telemetry has a pattern of uncontrolled atrial fibrillation with a
rapid ventricular response. Based on this finding, the nurse anticipates
assisting the physician with which treatment?
A. Administer lidocaine, 75 mg intravenous push.
B. Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous push.
Rationale:
With uncontrolled atrial fibrillation, the treatment of choice is synchronized
cardioversion to convert the cardiac rhythm back to normal sinus rhythm. Option
A is a medication used for ventricular dysrhythmias. Option C is not for a client
with atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias,
such as ventricular fibrillation and unstable ventricular tachycardia. Option D is
the drug of choice in symptomatic sinus bradycardia, not atrial fibrillation.
2.A practical nurse (PN) tells the charge nurse in a long-term facility that she does
not want to be assigned to one particular resident. She reports that the male client
keeps insisting that she is his daughter and begs her to stay in his room. What is
the best managerial decision?
A. Notify the family that the resident will have to be
discharged if his behavior does not improve.
B. Notify administration of the PN's
insubordination and need for counseling about
her statements.
C. Ask the PN what she has done to encourage
the resident to believe that she is his daughter.
D. Reassign the PN until the resident can be
assessed more completely for reality orientation.
Rationale:
Temporary reassignment is the best option until the resident can be examined and
his medications reviewed. He may have worsening cerebral dysfunction from an
infection or electrolyte imbalance. Option A is not the best option because the
family cannot control the resident's actions. The administration may need to know
, about the situation, but not as a case of insubordination. Implying that the PN is
somehow creating the situation is inappropriate until a further evaluation has been
conducted.
