Questions 60

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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.

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