Questions 9

ATI RN

ATI RN Test Bank

Critical Care Nursing NCLEX Questions Questions

Question 1 of 5

A patient is transferred to the ICU from the Birth Center of the hospital in the middle of the night after experiencing complications during delivery of her baby. The patients husband is anxious and explains to the ICU nurse that he doesnt understand why his wife has been moved to the ICU. She is going to die, isnt she? he asks the nurse. What is the nurses best response?

Correct Answer: A

Rationale: The correct answer is A because it addresses the husband's concern directly by assuring him that every measure will be taken to provide the best care for his wife. This response shows empathy and provides reassurance, which is crucial in such a stressful situation. It helps to alleviate the husband's anxiety and fear by emphasizing the hospital's commitment to his wife's well-being. Explanation for why the other choices are incorrect: B: This response does not address the husband's immediate concern about his wife's well-being and may come across as dismissive. C: Offering a place to relax does not address the husband's specific question and does not provide the information he is seeking. D: Discussing health insurance is not appropriate at this moment of crisis and does not address the husband's fears about his wife's condition.

Question 2 of 5

Which statement is true regarding the impact of culture on end-of-life decision making?

Correct Answer: C

Rationale: Rationale: 1. Culture and religious beliefs can significantly impact end-of-life decision making by influencing values, beliefs, and preferences. 2. These factors may affect choices related to treatment options, quality of life, and spiritual aspects. 3. Different cultural backgrounds may lead to varying perspectives on autonomy, family involvement, and medical interventions. 4. Option A and B make generalizations based on race, which is not accurate as preferences can vary widely within any racial group. 5. Option D is incorrect as perspectives on end-of-life care can vary even within the same religious group due to individual beliefs and interpretations.

Question 3 of 5

A nurse in a burn unit observes that a patient is tensed up and frowning but silent. The nurse asks the patient, Can you tell me what you are thinking now? The patient responds, I cant take this pain any more! I feel like Im about to die. What would be the best response for the nurse to give to the patient, considering that the patient is already receiving the maximum amount pain medication that is safe?

Correct Answer: C

Rationale: The correct response is C: Your pain medication is already at the highest possible dose. This response acknowledges the patient's pain and reassures them that they are already receiving the maximum safe amount of pain medication. By stating this, the nurse is validating the patient's experience and showing empathy. It is important for the nurse to communicate clearly about the medication to manage the patient's expectations. Choice A is incorrect as it dismisses the patient's pain and can come across as insensitive. Choice B may be well-intentioned but does not address the immediate concern of the patient's pain. Choice D is irrelevant to the patient's statement about pain and does not offer any immediate support or reassurance regarding the pain management.

Question 4 of 5

Which nursing actions are most important for a patient witahb irab .croigmh/tte srta dial arterial line? (Select all that apply.)

Correct Answer: A

Rationale: Step 1: Checking circulation to the right hand is crucial for assessing perfusion and detecting potential complications. Step 2: Arterial line placement can compromise blood flow, leading to ischemia if circulation is impaired. Step 3: Monitoring circulation every 2 hours allows for early detection of issues and prompt intervention. Step 4: This action ensures patient safety and prevents complications. Summary: - Choice B is incorrect as pressurized flush solution can increase the risk of complications. - Choice C is incorrect as monitoring the waveform is important but not the most critical action. - Choice D is incorrect as limb restraints can impede circulation and are unnecessary in this scenario.

Question 5 of 5

Which statement is true regarding the effects of caring for dying patients on nurses?

Correct Answer: D

Rationale: The correct answer, D, is supported by the fact that providing aggressive care to patients when nurses believe it is futile can lead to personal ethical conflicts and burnout. This is because nurses may experience moral distress when their values conflict with the care they are providing. This can result in emotional exhaustion and decreased job satisfaction, ultimately leading to burnout. Choice A is incorrect because attending funerals can be a way for nurses to process their grief and find closure, rather than creating additional stress. Choice B is incorrect because caring for dying patients can have emotional impacts on nurses, regardless of their professional approach. Choice C is incorrect because balancing care needs with personal emotional needs can be challenging and may not always be achievable.

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