ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A patient with respiratory failure has a respiratory rate of 26 breaths/min and an oxygen saturation (SpO2) of 80%. The patient is increasingly pale and restless but follows commands. Which intervention will the nurse anticipate?
Correct Answer: B
Rationale: Severe hypoxemia and respiratory distress require endotracheal intubation for adequate ventilation and oxygenation.
Question 2 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 3 of 5
A nurse is evaluating the central venous pressure (CVP) of a client who has sustained multiple traumas. Which of the following interpretations of a low CVP pressure should the nurse make?
Correct Answer: C
Rationale: Low CVP indicates reduced venous return, consistent with hypovolemia from trauma-related blood loss.
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 patient with respiratory failure has a respiratory rate of 26 breaths/min and an oxygen saturation (SpO2) of 80%. The patient is increasingly pale and restless but follows commands. Which intervention will the nurse anticipate?
Correct Answer: B
Rationale: Severe hypoxemia and respiratory distress require endotracheal intubation for adequate ventilation and oxygenation.