ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A patient who has been involved in a motor vehicle crash arrives in the emergency department (ED) with cool, clammy skin; tachycardia; and hypotension. Which intervention prescribed by the health care provider should the nurse implement first?
Correct Answer: A
Rationale: Ensuring adequate oxygenation with 100% oxygen via a non-rebreather mask is the priority to address hypoxia and stabilize the patient in shock.
Question 2 of 5
A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?
Correct Answer: B
Rationale: Metformin can increase the risk of lactic acidosis when combined with contrast material, especially in patients with renal impairment, requiring careful monitoring or temporary discontinuation.
Question 3 of 5
A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?
Correct Answer: A
Rationale: Atropine increases heart rate by blocking vagal tone, making it the first-line treatment for symptomatic bradycardia.
Question 4 of 5
A patient with respiratory failure has a respiratory rate of 6 breaths/min and an oxygen saturation (SpO2) of 78%. The patient is increasingly lethargic. Which intervention will the nurse anticipate?
Correct Answer: B
Rationale: Severe respiratory failure with low respiratory rate and SpO2 requires endotracheal intubation to ensure adequate ventilation and oxygenation.
Question 5 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.