ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The nurse is caring for a patient receiving a continuous norepinephrine IV infusion. Which finding indicates that the infusion rate may need to be adjusted?
Correct Answer: C
Rationale: A MAP of 56 mm Hg indicates inadequate perfusion, suggesting the norepinephrine dose may need adjustment to maintain adequate blood pressure.
Question 2 of 5
A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Which of the following assessments is an indication that the client might be experiencing circulatory overload?
Correct Answer: C
Rationale: Dyspnea indicates pulmonary congestion from circulatory overload, a common complication of rapid blood transfusion.
Question 3 of 5
The nurse is caring for a client with a history of heart failure and notes a new onset of the following rhythm on the client's telemetry monitor. Which action would the nurse take first?
Correct Answer: B
Rationale: Obtaining vital signs first assesses the hemodynamic impact of new-onset atrial fibrillation, guiding further actions.
Question 4 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 5 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.