ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 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 2 of 5
Which of the following is an appropriate nursing intervention for a patient with a pulmonary artery catheter?
Correct Answer: D
Rationale: Monitoring central venous pressure is appropriate as the catheter provides data on fluid status and right ventricular function.
Question 3 of 5
A patient with respiratory failure has a respiratory rate of 26 breaths/min and an oxygen saturation (SpO2) of 80%. The patient is increasingly pale and restless but follows commands. Which intervention will the nurse anticipate?
Correct Answer: B
Rationale: Severe hypoxemia and respiratory distress require endotracheal intubation for adequate ventilation and oxygenation.
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 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.