ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A patient develops increasing dyspnea and hypoxemia 2 days after heart surgery. What procedure should the nurse anticipate assisting with to determine whether the patient has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by heart failure?
Correct Answer: A
Rationale: A pulmonary artery catheter measures pressures to differentiate ARDS from heart failure-related pulmonary edema.
Question 2 of 5
An 81-yr-old patient who has been in the intensive care unit (ICU) for a week is now stable and transfer to the progressive care unit is planned. On rounds, the nurse notices that the patient has new onset confusion. What should the nurse plan to do?
Correct Answer: C
Rationale: New-onset confusion requires evaluation for underlying causes, so notifying the provider and postponing transfer ensures proper management.
Question 3 of 5
A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations?
Correct Answer: B
Rationale: Cheyne-Stokes respirations involve alternating hyperventilation and apnea, often seen in neurological or heart failure conditions.
Question 4 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 5 of 5
The nurse is caring for a client who has heart failure with an EF of 40%. The client has a BP of 170/67 with an HR of 60. He currently is in normal sinus rhythm and has an amber urine output of 45ml in the last 3 hours. Which medication would the nurse expect to give first?
Correct Answer: D
Rationale: Low urine output suggests hypovolemia, and a normal saline bolus is the first step to optimize intravascular volume and improve cardiac output in heart failure.