ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
When admitting a patient with possible respiratory failure and a high PaCO2, which assessment information should be immediately reported to the health care provider?
Correct Answer: B
Rationale: Somnolence indicates potential respiratory depression or hypercapnia, a critical sign of worsening respiratory failure requiring immediate reporting.
Question 2 of 5
An older patient with cardiogenic shock is cool and clammy. Hemodynamic monitoring indicates a high systemic vascular resistance (SVR). Which intervention should the nurse anticipate?
Correct Answer: B
Rationale: Sodium nitroprusside reduces high SVR, improving perfusion in cardiogenic shock with vasoconstriction.
Question 3 of 5
A 78-kg patient in septic shock has a pulse rate of 120 beats/min with low central venous pressure and pulmonary artery wedge pressure. After initial fluid volume resuscitation, the patient's urine output has been 30 mL/hr for the past 3 hours. Which order by the health care provider should the nurse question?
Correct Answer: B
Rationale: Furosemide is inappropriate in septic shock with low urine output, as it may worsen hypovolemia and organ perfusion.
Question 4 of 5
Which information about a patient who is receiving cisatracurium (Nimbex) to prevent asynchronous breathing with the positive pressure ventilator requires action by the nurse?
Correct Answer: D
Rationale: Cisatracurium causes paralysis, requiring sedation to ensure patient comfort and prevent awareness, making the lack of a sedative order a priority for action.
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.