ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is preparing a client for transfer to the ICU for placement of a pulmonary artery catheter. The nurse should explain to the client that this catheter is used to monitor which of the following conditions?
Correct Answer: D
Rationale: A pulmonary artery catheter monitors hemodynamic status, providing data on cardiac output, pulmonary pressures, and preload.
Question 2 of 5
The nurse is caring for a patient receiving a continuous norepinephrine IV infusion. Which finding indicates that the infusion rate may need to be adjusted?
Correct Answer: C
Rationale: A MAP of 56 mm Hg indicates inadequate perfusion, suggesting the norepinephrine dose may need adjustment to maintain adequate blood pressure.
Question 3 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 4 of 5
A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?
Correct Answer: A
Rationale: Atrial fibrillation causes an irregularly irregular pulse due to chaotic atrial activity and inconsistent ventricular responses.
Question 5 of 5
A nurse is caring for a client who was admitted for atrial fibrillation rapid ventricular rate of 130 beat/min with confusion. The client's blood pressure is 87/50. What order should the nurse expect to receive from the provider?
Correct Answer: C
Rationale: Amiodarone is used for rate control in atrial fibrillation, especially in hypotensive patients, to stabilize hemodynamics.