ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client tells the nurse that he is concerned because his provider told him he has a heart murmur. The nurse should explain to the client that a murmur
Correct Answer: A
Rationale: A heart murmur is caused by turbulent blood flow, often due to valve abnormalities like stenosis or regurgitation.
Question 2 of 5
A nurse is caring for a client in a critical care unit who suffered a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. Which of the following assessment findings should the nurse identify as supporting this suspicion?
Correct Answer: B
Rationale: Muffled heart sounds, part of Beck's triad, indicate fluid accumulation in the pericardial sac, supporting cardiac tamponade.
Question 3 of 5
A patient with respiratory failure has a respiratory rate of 6 breaths/min and an oxygen saturation (SpO2) of 78%. The patient is increasingly lethargic. Which intervention will the nurse anticipate?
Correct Answer: B
Rationale: Severe respiratory failure with low respiratory rate and SpO2 requires endotracheal intubation to ensure adequate ventilation and oxygenation.
Question 4 of 5
Which of the following factors can directly affect cardiac output?
Correct Answer: B,C
Rationale: Stroke volume and heart rate directly determine cardiac output, as cardiac output equals stroke volume multiplied by heart rate.
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.