ATI RN
Critical Care Nursing Practice Questions Questions
Question 1 of 5
Which organization requires a mechanism for addressing ethical issues?
Correct Answer: D
Rationale: The correct answer is D, The Joint Commission, because it is a regulatory body that accredits healthcare organizations and requires them to have mechanisms for addressing ethical issues to ensure patient safety and quality of care. The other choices (A, B,
C) are professional organizations that focus on specific areas of healthcare practice and do not have the authority to set regulatory standards for addressing ethical issues in healthcare organizations.
Question 2 of 5
Acute kidney injury from postrenal etiology is caused by
Correct Answer: A
Rationale: The correct answer is A because postrenal acute kidney injury is caused by obstruction of urine flow, leading to pressure build-up in the kidneys and subsequent damage. Obstructions can be due to conditions such as kidney stones, tumors, or enlarged prostate.
Choices B, C, and D are incorrect as they relate to pre-renal and intrinsic renal causes of acute kidney injury, not specifically postrenal obstruction. B refers to decreased blood flow to the kidneys, C to low volume or poor heart function affecting kidney perfusion, and D to direct damage to kidney tissue, which do not characterize postrenal etiology.
Question 3 of 5
Which of the following statements regarding pain and anxiety are true? (Select all that apply.)
Correct Answer: A
Rationale:
Rationale:
A: Correct. Anxiety is characterized by apprehension, agitation, autonomic arousal, and fearful withdrawal, which are distinct from pain.
B: Incorrect. Critically ill patients can experience both anxiety and pain, as pain is not exclusive to them.
C: Incorrect. While pain and anxiety can be interrelated, they can be differentiated based on their unique physiological and behavioral manifestations.
D: Incorrect. Pain is a subjective experience, but it is not solely defined by the individual; objective assessments are also important.
Question 4 of 5
A patient on mechanical ventilation is experiencing severe agitation due to being on the ventilator. Which nursing intervention would be best?
Correct Answer: B
Rationale: The correct answer is B: Offering the patient a patient-controlled analgesic device. This intervention allows the patient to self-administer pain relief, which can help alleviate discomfort associated with mechanical ventilation and reduce agitation. Breathing exercises (choice
A) may not address the root cause of agitation. Asking for antianxiety medication (choice
C) may not be immediate or ideal due to potential side effects. Offering an MP3 player (choice
D) may provide distraction but may not effectively address the agitation caused by the ventilator.
Question 5 of 5
A patient who is orally intubated and receiving mechanical ventilation is anxious and is fighting the ventilator. Which action should the nurse take next?
Correct Answer: A
Rationale: The correct answer is A: Verbally coach the patient to breathe with the ventilator. This approach allows the nurse to address the patient's anxiety and help them synchronize their breathing with the ventilator, promoting better ventilation and oxygenation. It is important to first try non-invasive interventions before resorting to sedation or manual ventilation. Sedating the patient (
B) should be a last resort to avoid potential complications. Manual ventilation (
C) may disrupt the ventilator settings and cause respiratory distress. Increasing the rate of propofol infusion (
D) is not indicated unless the patient's sedation level is inadequate.