ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.)
Correct Answer: A,B,C,D,E
Rationale: The sequence follows the ABCDE trauma survey: open airway (
C), assess breathing (
B), establish IV for circulation (
D), assess neurological status (E), and expose for assessment (
A).
Question 2 of 5
A nurse is interpreting a client's ECG strip. Which of the following components of the ECG should the nurse examine to determine the time it takes for ventricular depolarization and repolarization?
Correct Answer: B
Rationale: The QT interval measures the time for ventricular depolarization and repolarization, from QRS onset to T wave end.
Question 3 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.
Extract:
pH 7.22
PaCO2 68 mm Hg
Base excess-2 PaO2 78 mm Hg
Saturation 80%
Bicarbonate 26 mEq/L
Question 4 of 5
A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGS?
Correct Answer: C
Rationale: Low pH and elevated PaCO2 indicate respiratory acidosis due to hypoventilation retaining carbon dioxide.
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.