ATI RN
ATI Advanced Med Surg Exam 3 Questions
Question 1 of 5
A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?
Correct Answer: D
Rationale: Regular oral hygiene with a suction toothbrush reduces bacterial load, decreasing the risk of ventilator-associated pneumonia.
Question 2 of 5
A nurse is caring for a client who was admitted for atrial fibrillation rapid ventricular rate of 130 beat/min with confusion. The client's blood pressure is 87/50. What order should the nurse expect to receive from the provider?
Correct Answer: C
Rationale: Amiodarone is used for rate control in atrial fibrillation, especially in hypotensive patients, to stabilize hemodynamics.
Question 3 of 5
A nurse is caring for a patient with acute respiratory distress syndrome (ARDS) who is receiving mechanical ventilation using synchronized intermittent mandatory ventilation (SIMV). The settings include fraction of inspired oxygen (FIO2) of 80%, tidal volume of 450, rate of 16/minute, and positive end-expiratory pressure (PEEP) of 5 cm. Which assessment finding is most important for the nurse to report to the health care provider?
Correct Answer: D
Rationale: Crackles at lung bases indicate worsening pulmonary edema or fluid accumulation, requiring immediate reporting to adjust ventilator settings or interventions.
Question 4 of 5
A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?
Correct Answer: A
Rationale: Atrial fibrillation causes an irregularly irregular pulse due to chaotic atrial activity and inconsistent ventricular responses.
Question 5 of 5
A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Elevated CVP reflects systemic venous congestion, a hallmark of right-sided heart failure.