ATI RN
ATI Advanced Med Surg Rn 46 Exam Questions
Question 1 of 5
A nurse is caring for a client who has severe head injuries and is declared brain dead. The transplant coordinator has spoken with the client's family about organ donation. The client's spouse states she is confused and does not know what she should do. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: Asking about the deceased's wishes respects their values and helps guide the spouse's decision without coercion.
Question 2 of 5
The nurse is educating a patient's family member about a central venous pressure catheter (CVP). Which statement by the family member best indicates understanding of the purpose of the CVP?
Correct Answer: B
Rationale: The CVP catheter monitors central venous pressure to guide fluid management and assess right heart function, which is its primary purpose.
Question 3 of 5
A patient is being treated for hypertensive emergency. When treating this patient, the nurse recognizes the initial goal is to lower the mean blood pressure (BP) by 20-25% because
Correct Answer: B
Rationale: Rapid BP reduction can cause organ hypoperfusion, so a controlled reduction of 20-25% is targeted to prevent ischemic injury.
Question 4 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 5 of 5
A patient was admitted for terminal heart failure and is now eligible for a transplant. The family wants everything possible done to maintain life. Which procedure might be offered to the patient for this condition to increase the patient's quality of life?
Correct Answer: D
Rationale: An LVAD can improve quality of life in terminal heart failure by assisting the heart in pumping blood, often used as a bridge to transplant.