ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering oxygen addresses hypoxemia and supports respiratory effort in a client with a sucking chest wound.
Question 2 of 5
A nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify that which of the following findings indicates that the medication is effective?
Correct Answer: A
Rationale: Increased urine output indicates improved renal perfusion and cardiac output, a sign of dobutamine's effectiveness in heart failure.
Question 3 of 5
Norepinephrine has been prescribed for a patient who was admitted with dehydration and hypotension. Which data indicate that the nurse should consult with the health care provider before starting the norepinephrine?
Correct Answer: A
Rationale: Low central venous pressure indicates hypovolemia, requiring fluid resuscitation before vasopressors like norepinephrine to prevent worsening hypotension.
Question 4 of 5
A nurse is evaluating the central venous pressure (CVP) of a client who has sustained multiple traumas. Which of the following interpretations of a low CVP pressure should the nurse make?
Correct Answer: C
Rationale: Low CVP indicates reduced venous return, consistent with hypovolemia from trauma-related blood loss.
Question 5 of 5
A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?
Correct Answer: D
Rationale: Regular oral hygiene with a suction toothbrush reduces bacterial load, decreasing the risk of ventilator-associated pneumonia.