ATI MED SURG
ATI MED SURG EXAM 2025
(CARDIOVASCULAR, IMMUNE &
INFECTION, AND ONCOLOGY)
QUESTIONS AND CORRECT ANSWERS
A nurse on a telemetry unit is caring for a client who has an irregular radial pulse. Which
of the following ECG abnormalities should the nurse recognize as atrial flutter?
A. P waves occurring at 0.16 sec before each QRS complex
B. Atrial rate of 300/min with QRS complex of 80/min
C. Ventricular rate of 82/min with an atrial rate of 80/min
D. An irregular ventricular rate of 125/min with a wide QRS pattern - B.
the nurse should interpret this finding as atrial flutter, which indicates a lack o
fconduction between the atria and ventricles. The additional atrial beats are not
conducting.
Which one of these rhythms indicates ventricular tachycardia?
A. P waves occurring at 0.16 sec before each QRS complex
B. Atrial rate of 300/min with QRS complex of 80/min
C. Ventricular rate of 82/min with an atrial rate of 80/min
D. An irregular ventricular rate of 125/min with a wide QRS pattern - D
Which one of the following rates indicates normal sinus rhythm?
A. P waves occurring at 0.16 sec before each QRS complex
B. Atrial rate of 300/min with QRS complex of 80/min
C. Ventricular rate of 82/min with an atrial rate of 80/min
D. An irregular ventricular rate of 125/min with a wide QRS pattern - A
ATI MED SURG
,ATI MED SURG
Which one of the following indicates a PVC?
A. P waves occurring at 0.16 sec before each QRS complex
B. Atrial rate of 300/min with QRS complex of 80/min
C. Ventricular rate of 82/min with an atrial rate of 80/min
D. An irregular ventricular rate of 125/min with a wide QRS pattern - C
A nurse is assessing a client for manifestations of aplastic anemia. Which of the
following findings should the nurse expect?
A. Plethoric appearance of facial skin
B. Glossitis and weight loss
C. Jaundice and an enlarged liver
D. Petechiae and ecchymosis - D.
the client who has aplastic anemia will have these manifestations. Dyspnea on exertion
can also be present. In aplastic anemia, all 3 major blood components (RBC, WBC,
platelets) are reduced or absent, known as pancytopenia. Manifestations usually develop
gradually.
Which one of the following choices are manifestations of pernicious anemia?
A. Plethoric appearance of facial skin
B. Glossitis and weight loss
C. Jaundice and an enlarged liver
D. Petechiae and ecchymosis - B
Which one of the following choices are manifestations of sickle cell anemia?
A. Plethoric appearance of facial skin
B. Glossitis and weight loss
ATI MED SURG
,ATI MED SURG
C. Jaundice and an enlarged liver
D. Petechiae and ecchymosis - C. An enlarged spleen is also present
A nurse is transfusing a unit of O-negative fresh frozen plasma to a client whose blood
type is B positive. WHich of the following actions should the nurse take?
A. Contimue to monitor for manifestations of a transfusion reaction.
B. Remove the unit of plasma immediately and start an IV infusion of normal saline
solution.
C. continue the transfusion and repeat the type and crossmatch
D. prepare to administer a dose of diphenhydramine IV. - B.
a client who receives FFP that is not compatible can experience a hemolytic transfusion
reaction. the nurse should stop the transfusion and infuse 0.9 NaCl with new tubing.
A client whose blood type is B can only receive type B of AB plasma.
A nurse is monitoring a client who has heart failure related to mitral stenosis. The client
reports shortness of breath on exertion. Which of the following conditions should the
nurse expect?
A. Increased cardiac output
B. Increased pulmonary congestion
C. Decreased left atria pressure
D. Decreased pulmonary artery pressure - B.
pulmonary congestion occurs due to right sided heart failure. Because of the defect in the
mitral valve, the left atrial pressure rises, the left atrium dilates, there is an increase in
pulmonary artery pressure, and the hypertrophy of the right ventricle occurs. In this case,
dyspnea is an indication of pulmonary congestion and right sided heart failure.
Pulmonary artery pressure increases as a result of back-up from stenosis of the mitral
valve.
ATI MED SURG
, ATI MED SURG
Cardiac output is decreased because the left ventricle is receiving insufficient blood
volume to pump out.
A nurse is assessing a client who has pericarditis. Which of the following manifestations
should the nurse expect?
A. Bradycardia with S-T segment depression
B. Relief of chest pain with deep inspiration.
C. Dyspnea with hiccups
D. Chest pain that increases when sitting upright. - C.
A client with pericarditis will experience dyspnea, hiccups, and a nonproductive cough.
These manifestations can indicate heart failure from pericardial compression due to
constrictive pericarditis or cardiac tamponade.
A nurse is providing teaching to a client who has anemia and a new prescription for
epoetin alfa. Which of the following information should the nurse include in the
teaching?
A. hospitalization is required when administering each treatment.
B. The maximum effect of the medication will occur in 6 months
C. Hypertension is a common adverse effect of this medication.
D. Blood transfusions are needed with each treatment. - C.
Hypertension is a common adverse effect of epoetin alfa because of the rise in production
of erythrocytes and other RBC types. Epoetin alfa is a synthetic version of human
erythropoeitin.
Epoetin alfa is self-administered at home and the effects will occur in 2-3 months.
A nurse is reviewing a client's repeat laboratory results 4 hours after administering FFP.
Which of the following lab results should the nurse review?
ATI MED SURG
ATI MED SURG EXAM 2025
(CARDIOVASCULAR, IMMUNE &
INFECTION, AND ONCOLOGY)
QUESTIONS AND CORRECT ANSWERS
A nurse on a telemetry unit is caring for a client who has an irregular radial pulse. Which
of the following ECG abnormalities should the nurse recognize as atrial flutter?
A. P waves occurring at 0.16 sec before each QRS complex
B. Atrial rate of 300/min with QRS complex of 80/min
C. Ventricular rate of 82/min with an atrial rate of 80/min
D. An irregular ventricular rate of 125/min with a wide QRS pattern - B.
the nurse should interpret this finding as atrial flutter, which indicates a lack o
fconduction between the atria and ventricles. The additional atrial beats are not
conducting.
Which one of these rhythms indicates ventricular tachycardia?
A. P waves occurring at 0.16 sec before each QRS complex
B. Atrial rate of 300/min with QRS complex of 80/min
C. Ventricular rate of 82/min with an atrial rate of 80/min
D. An irregular ventricular rate of 125/min with a wide QRS pattern - D
Which one of the following rates indicates normal sinus rhythm?
A. P waves occurring at 0.16 sec before each QRS complex
B. Atrial rate of 300/min with QRS complex of 80/min
C. Ventricular rate of 82/min with an atrial rate of 80/min
D. An irregular ventricular rate of 125/min with a wide QRS pattern - A
ATI MED SURG
,ATI MED SURG
Which one of the following indicates a PVC?
A. P waves occurring at 0.16 sec before each QRS complex
B. Atrial rate of 300/min with QRS complex of 80/min
C. Ventricular rate of 82/min with an atrial rate of 80/min
D. An irregular ventricular rate of 125/min with a wide QRS pattern - C
A nurse is assessing a client for manifestations of aplastic anemia. Which of the
following findings should the nurse expect?
A. Plethoric appearance of facial skin
B. Glossitis and weight loss
C. Jaundice and an enlarged liver
D. Petechiae and ecchymosis - D.
the client who has aplastic anemia will have these manifestations. Dyspnea on exertion
can also be present. In aplastic anemia, all 3 major blood components (RBC, WBC,
platelets) are reduced or absent, known as pancytopenia. Manifestations usually develop
gradually.
Which one of the following choices are manifestations of pernicious anemia?
A. Plethoric appearance of facial skin
B. Glossitis and weight loss
C. Jaundice and an enlarged liver
D. Petechiae and ecchymosis - B
Which one of the following choices are manifestations of sickle cell anemia?
A. Plethoric appearance of facial skin
B. Glossitis and weight loss
ATI MED SURG
,ATI MED SURG
C. Jaundice and an enlarged liver
D. Petechiae and ecchymosis - C. An enlarged spleen is also present
A nurse is transfusing a unit of O-negative fresh frozen plasma to a client whose blood
type is B positive. WHich of the following actions should the nurse take?
A. Contimue to monitor for manifestations of a transfusion reaction.
B. Remove the unit of plasma immediately and start an IV infusion of normal saline
solution.
C. continue the transfusion and repeat the type and crossmatch
D. prepare to administer a dose of diphenhydramine IV. - B.
a client who receives FFP that is not compatible can experience a hemolytic transfusion
reaction. the nurse should stop the transfusion and infuse 0.9 NaCl with new tubing.
A client whose blood type is B can only receive type B of AB plasma.
A nurse is monitoring a client who has heart failure related to mitral stenosis. The client
reports shortness of breath on exertion. Which of the following conditions should the
nurse expect?
A. Increased cardiac output
B. Increased pulmonary congestion
C. Decreased left atria pressure
D. Decreased pulmonary artery pressure - B.
pulmonary congestion occurs due to right sided heart failure. Because of the defect in the
mitral valve, the left atrial pressure rises, the left atrium dilates, there is an increase in
pulmonary artery pressure, and the hypertrophy of the right ventricle occurs. In this case,
dyspnea is an indication of pulmonary congestion and right sided heart failure.
Pulmonary artery pressure increases as a result of back-up from stenosis of the mitral
valve.
ATI MED SURG
, ATI MED SURG
Cardiac output is decreased because the left ventricle is receiving insufficient blood
volume to pump out.
A nurse is assessing a client who has pericarditis. Which of the following manifestations
should the nurse expect?
A. Bradycardia with S-T segment depression
B. Relief of chest pain with deep inspiration.
C. Dyspnea with hiccups
D. Chest pain that increases when sitting upright. - C.
A client with pericarditis will experience dyspnea, hiccups, and a nonproductive cough.
These manifestations can indicate heart failure from pericardial compression due to
constrictive pericarditis or cardiac tamponade.
A nurse is providing teaching to a client who has anemia and a new prescription for
epoetin alfa. Which of the following information should the nurse include in the
teaching?
A. hospitalization is required when administering each treatment.
B. The maximum effect of the medication will occur in 6 months
C. Hypertension is a common adverse effect of this medication.
D. Blood transfusions are needed with each treatment. - C.
Hypertension is a common adverse effect of epoetin alfa because of the rise in production
of erythrocytes and other RBC types. Epoetin alfa is a synthetic version of human
erythropoeitin.
Epoetin alfa is self-administered at home and the effects will occur in 2-3 months.
A nurse is reviewing a client's repeat laboratory results 4 hours after administering FFP.
Which of the following lab results should the nurse review?
ATI MED SURG
