ATI RN
ATI Advanced Med Surg Rn 46 Exam Questions
Question 1 of 5
While caring for a patient with a pulmonary artery catheter, the nurse notes the pulmonary artery pressure to be significantly higher than previously recorded values. The nurse assesses respirations to be unlabored at 16 breaths/min, oxygen saturation of 98% on 3 L of oxygen via nasal cannula, and lungs clear to auscultation bilaterally. What is the priority nursing action?
Correct Answer: B
Rationale: Zero referencing and leveling the catheter at the phlebostatic axis ensures accurate pressure readings, which is critical before taking further actions. The patient's stable respiratory status and oxygen saturation do not warrant immediate oxygen increase or provider notification.
Question 2 of 5
The main purpose of critical care certification is to
Correct Answer: A
Rationale: Critical care certification validates specialized knowledge and skills in critical care nursing, enhancing professional credibility.
Question 3 of 5
A nurse is caring for a client who has had a myocardial infarction. Upon his first visit to cardiac rehabilitation, he tells the nurse that he doesn't understand why he needs to be there because there is nothing more to do, as the damage is done. Which of the following is the correct nursing response?
Correct Answer: D
Rationale: This response addresses the patient's misconception by explaining that cardiac rehabilitation improves activity levels safely, despite irreversible heart damage.
Question 4 of 5
The nurse is caring for a patient with a left subclavian central venous catheter (CVC) and a left radial arterial line. Which assessment finding by the nurse requires immediate action?
Correct Answer: A
Rationale: Numbness and tingling suggest potential vascular or nerve compromise, possibly from the arterial line, requiring immediate intervention to prevent serious complications.
Question 5 of 5
A patient is having a cardiac evaluation to assess for possible heart failure and valvular disease. Which study best identifies heart function and measures the size of the cardiac chambers?
Correct Answer: D
Rationale: An echocardiogram provides detailed imaging of heart function, chamber size, and valve function, making it the most suitable study for this evaluation.