ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A patient who has neurogenic shock is receiving a dobutamine infusion through a right forearm IV. Which assessment finding obtained by the nurse indicates a need for immediate action?
Correct Answer: A
Rationale: A cool and pale IV site indicates potential infiltration or poor perfusion, requiring immediate action to prevent tissue damage.
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.
Question 3 of 5
A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Elevated CVP reflects systemic venous congestion, a hallmark of right-sided heart failure.
Question 4 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 5 of 5
A patient with septic shock has a BP of 70/46 mm Hg, pulse of 136 beats/min, respirations of 32 breaths/min, temperature of 104°F, and blood glucose of 246 mg/dL. Which intervention ordered by the health care provider should the nurse implement first?
Correct Answer: C
Rationale: Fluid resuscitation with normal saline is the priority in septic shock to address hypotension and restore perfusion.