ATI RN
Critical Care Nursing Questions Questions
Question 1 of 5
The nurse caring for a critically ill patient implements several components of care. What component is an example of the use of evidence-based practice?
Correct Answer: B
Rationale: The correct answer is B because applying an insulin sliding scale method based on research is an example of evidence-based practice. This method is derived from scientific evidence and research studies, ensuring the best outcomes for the patient. The other choices lack the same level of evidence-based rationale: A is based on a protocol, which may not be evidence-based; C is a standard safety practice, not necessarily evidence-based; D is a decision based on hospital policy or practicality, not specifically evidence-based.
Question 2 of 5
A critically ill patient tells the nurse that he is not afraid to die because he believes in reincarnation. What is the most appropriate nursing response?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges and validates the patient's belief, showing empathy and support. By stating that the belief gives strength, the nurse facilitates a therapeutic relationship and promotes the patient's emotional well-being.
Choice A is incorrect as it challenges the patient's belief system, potentially creating conflict.
Choice C is inappropriate as it dismisses the patient's belief and could damage the nurse-patient relationship.
Choice D is also incorrect as it invalidates the patient's belief and could harm trust and rapport.
Question 3 of 5
The patient has just returned from having an arteriovenous fistula placed. The patient asks, “When will they be able to use this and take this other catheter out?” The nurse should reply,
Correct Answer: C
Rationale: The correct answer is C: “The fistula will be usable in about 4 to 6 weeks.” The rationale for this is that an arteriovenous fistula typically requires 4 to 6 weeks to mature and be ready for use. During this time, the fistula develops the necessary blood flow for efficient dialysis.
Choice A is incorrect because immediate use of the fistula is not recommended as it needs time to mature.
Choice B is incorrect as it underestimates the time needed for the fistula to heal and mature.
Choice D is incorrect as the usability of the fistula is not dependent on the manufacturer but rather on the patient's individual healing process.
Question 4 of 5
What factors may predispose a patient to respiratory acido as bi is rb? . com/test
Correct Answer: B
Rationale: The correct answer is B: Central nervous system depression. This factor can lead to respiratory acidosis by depressing the respiratory drive, causing hypoventilation and retention of carbon dioxide. Anxiety and fear (
A) may lead to hyperventilation, reducing carbon dioxide levels. Diabetic ketoacidosis (
C) results in metabolic acidosis, not respiratory acidosis. Nasogastric suctioning (
D) may cause respiratory alkalosis from excessive removal of carbon dioxide. Thus, central nervous system depression is the most likely factor predisposing a patient to respiratory acidosis.
Question 5 of 5
Which action is best for the nurse to take to ensure culturally competent care for an alert, terminally ill Filipino patient?
Correct Answer: A
Rationale: The correct answer is A because it promotes patient-centered care by involving the patient and family in decision-making, respecting their autonomy and preferences. This approach acknowledges the importance of cultural beliefs and values in end-of-life care.
Choice B undermines patient autonomy by bypassing direct communication with the patient.
Choice C assumes all Filipino individuals have the same cultural needs, which is not accurate.
Choice D generalizes preferences without considering individual patient needs and wishes. Overall, choice A is the most appropriate as it aligns with the principles of patient-centered care and cultural competence.