ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Tachycardia (e.g., 160/min) is a compensatory mechanism in shock to maintain cardiac output and perfusion.
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
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 4 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 5 of 5
A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Which of the following assessments is an indication that the client might be experiencing circulatory overload?
Correct Answer: C
Rationale: Dyspnea indicates pulmonary congestion from circulatory overload, a common complication of rapid blood transfusion.