ATI RN
Introduction to Critical Care Nursing 8th Edition Questions
Question 1 of 5
A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
An assistive personnel (AP) was feeding a client with a tracheostomy. Later that evening, the UAP reports that the client had a coughing spell during the meal. What action by the nurse is best?
Correct Answer: A
Rationale: The correct answer is A: Assess the client's lung sounds. This is the best action because coughing during a meal with a tracheostomy could indicate aspiration, which can lead to respiratory complications. Assessing lung sounds can help determine if there are any signs of respiratory distress. B: Assign a different AP to the client - This is not the best action as the priority is to assess the client's condition first. C: Report the AP to the manager - This is not the best action as the immediate concern is the client's well-being and assessing their condition. D: Request thicker liquids for meals - This is not the best action as it does not address the potential respiratory issue the client may be experiencing.
Question 3 of 5
Which assessment finding for a patient who has been admitted with a right calf venous thromboembolism (VTE) requires immediate action by the nurse?
Correct Answer: C
Rationale: The correct answer is C. New onset shortness of breath is concerning for a pulmonary embolism, a serious complication of VTE. The nurse should act immediately to assess the patient's respiratory status and initiate appropriate interventions. A: Report of right calf pain is expected with VTE and does not require immediate action. B: Erythema of right lower leg can be a sign of inflammation but does not necessitate urgent intervention. D: Temperature of 100.4° F is a low-grade fever, which may indicate an infection but does not require immediate action in this context.
Question 4 of 5
Which information from a patient helps the nurse confirm the previous diagnosis of chronic stable angina?
Correct Answer: D
Rationale: Step 1: Chronic stable angina is chest pain relieved by rest or nitroglycerin due to reduced blood flow to the heart. Step 2: Choice D indicates pain relieved by nitroglycerin, a hallmark of angina. Step 3: Choices A, B, and C do not specifically confirm angina diagnosis. Summary: Choice D is correct as it directly aligns with the characteristic relief of angina pain with nitroglycerin. Choices A, B, and C do not provide direct confirmation of chronic stable angina.
Question 5 of 5
When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patient's fluid volume status?
Correct Answer: C
Rationale: The correct answer is C because assessing the patient's intake, output, and daily weight provides direct information on fluid balance. Intake measures fluid coming in, output measures fluid going out, and daily weight reflects changes in total body water. Blood pressure and pulse (A) are affected by various factors and may not solely indicate fluid status. Serum potassium and sodium levels (B) are affected by multiple factors, not just fluid volume. Measurements of abdominal girth and calf circumference (D) are more specific to assessing for fluid retention in certain areas, not overall fluid volume status.