ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A 78-kg patient in septic shock has a pulse rate of 120 beats/min with low central venous pressure and pulmonary artery wedge pressure. After initial fluid volume resuscitation, the patient's urine output has been 30 mL/hr for the past 3 hours. Which order by the health care provider should the nurse question?
Correct Answer: B
Rationale: Furosemide is inappropriate in septic shock with low urine output, as it may worsen hypovolemia and organ perfusion.
Question 2 of 5
A patient admitted with urosepsis and alcohol abuse had three seconds of PVCS and returns to sinus tachycardia. The patient's baseline heart rate is 116/min with a temperature of 101.1F, respirations of 22/min and blood pressure is 114/64. What should the nurse anticipate to do first?
Correct Answer: D
Rationale: Assessing level of consciousness is the priority to detect neurological deterioration in urosepsis, guiding further interventions.
Question 3 of 5
Which of the following is an appropriate nursing intervention for a patient with a pulmonary artery catheter?
Correct Answer: D
Rationale: Monitoring central venous pressure is appropriate as the catheter provides data on fluid status and right ventricular function.
Extract:
Nurse's Notes
Client came to the ER for increase SOB worsening dyspnea and restlessness. Respiratory rate is currently 32/min with shallow breath BP 198/78 mm Hg. Oxygen has been increased from 2 L nasal cannula to 50% face mask with little improvement of oxygen saturation. Current oxygen saturation is 91% on 50% facemask. Arterial blood gases drawn and sent to lab.
Diagnostic Results
ABGS:
pH 7.25 (7.35 to 7.45)
pCO2 62 mm Hg (35 to 45 mm Hg)
HCO3-22 mEq/L (22 to 26 mEq/L)
Question 4 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale:
Extract:
Question 5 of 5
A nurse is caring for a client who has an acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Hypotension, decreased consciousness, severe dyspnea, and headache are manifestations of ARF due to hypoxemia, hypercapnia, or acidosis.