ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 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 2 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 3 of 5
Which of the following is a common cause of cardiogenic shock?
Correct Answer: D
Rationale: Myocardial infarction impairs cardiac function, reducing cardiac output and causing cardiogenic shock.
Question 4 of 5
Which of the following is NOT an appropriate indication for the use of dopamine in critical care?
Correct Answer: C
Rationale: Dopamine is not appropriate for hypovolemic shock, where fluid resuscitation is the primary treatment.
Question 5 of 5
A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?
Correct Answer: C
Rationale: Atrial fibrillation causes an irregularly irregular heart rhythm, leading to palpitations, fatigue, dizziness, and a pulse deficit due to inconsistent ventricular contractions.