ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who was admitted for atrial fibrillation rapid ventricular rate of 130 beat/min with confusion. The client's blood pressure is 87/50. What order should the nurse expect to receive from the provider?
Correct Answer: C
Rationale: Amiodarone is used for rate control in atrial fibrillation, especially in hypotensive patients, to stabilize hemodynamics.
Question 3 of 5
A nurse is caring for a client who is receiving positive-pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Daily verification of ventilator settings ensures safety, pantoprazole prevents stress ulcers, and elevating the head of the bed reduces ventilator-associated pneumonia risk.
Question 4 of 5
Norepinephrine has been prescribed for a patient who was admitted with dehydration and hypotension. Which data indicate that the nurse should consult with the health care provider before starting the norepinephrine?
Correct Answer: A
Rationale: Low central venous pressure indicates hypovolemia, requiring fluid resuscitation before vasopressors like norepinephrine to prevent worsening hypotension.
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.