ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with acute respiratory failure. The client now requires ventilator support. What is the goal of treatment at this time? A/An:
Correct Answer: C
Rationale: The primary goal in acute respiratory failure is to maintain adequate oxygenation, with a target O2 saturation of at least 94%.
Question 2 of 5
The nurse is caring for a client who is 3 hours post-operative following a right lobectomy for lung cancer. The client has shallow respirations at a rate of 14/minute with guarding of the operative site. The breath sounds are diminished throughout the left lung field. The nurse assigns the highest priority to which intervention to prevent acute respiratory failure?
Correct Answer: D
Rationale: Adequate pain relief is critical to promote deep breathing and prevent shallow respirations, reducing the risk of atelectasis and respiratory failure.
Question 3 of 5
A client is admitted to the Emergency Department (ED) with a suspected ST elevation myocardial infarction (STEMI) involving the inferior wall. The nurse anticipates that this client will be immediately scheduled for the cardiac catheterization laboratory. The goal of treatment is to:
Correct Answer: B
Rationale: The primary goal in STEMI is to restore blood flow to the heart muscle via PCI to minimize myocardial damage.
Question 4 of 5
The nurse is admitting a client who is on a ventilator. The client has a medical diagnosis of acute respiratory distress syndrome (ARDS). Which infection control guideline is of greatest importance?
Correct Answer: A
Rationale: Hand hygiene is the most critical infection control measure to prevent ventilator-associated infections in ARDS patients.
Question 5 of 5
The nurse is to begin a nitroglycerin infusion for a client diagnosed with an anterior wall myocardial infarction. Which assessment finding should the nurse report to the provider immediately?
Correct Answer: D
Rationale: A blood pressure of 90/50 mmHg is significantly low and could indicate hypotension, a known side effect of nitroglycerin infusion. This can compromise perfusion to vital organs and may require adjustment or discontinuation of the infusion, making it the most urgent finding to report.