ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Pre-oxygenation prevents hypoxemia during suctioning, which can cause tachycardia and arrhythmias.
Question 2 of 5
Which is(are) potential result(s) of end-organ damage from chronic hypertension? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Chronic hypertension damages the heart, kidneys, brain, and predisposes to atrial fibrillation, leading to cardiac disease, renal insufficiency, stroke, and arrhythmias.
Extract:
Nurses' Notes
0930:
The client arrives to the ED and reports a "fluttering" and "racing" heartbeat. The client also reports dizziness and shortness of breath.
0945:
Client placed on telemetry, cardiac rhythm is irregular, tachycardia and has unclear P waves. 0955:
Doctor in to assess patient. Orders received.
Vital Signs
0940:
Blood pressure 165/88 mm Hg Pulse rate 126/min Respiratory rate 22/min
Oxygen saturation 94% on room air
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale:
Extract:
Question 4 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Slow, steady bubbling in the suction control chamber is normal, so continued monitoring of respiratory status is appropriate.
Question 5 of 5
Which information about a patient who is receiving cisatracurium (Nimbex) to prevent asynchronous breathing with the positive pressure ventilator requires action by the nurse?
Correct Answer: D
Rationale: Cisatracurium causes paralysis, requiring sedation to ensure patient comfort and prevent awareness, making the lack of a sedative order a priority for action.