ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
Which of the following is a common cause of cardiogenic shock?
Correct Answer: D
Rationale: Myocardial infarction impairs cardiac function, reducing cardiac output and causing cardiogenic shock.
Question 2 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Slow, steady bubbling in the suction control chamber is normal, so continued monitoring of respiratory status is appropriate.
Extract:
pH 7.22
PaCO2 68 mm Hg
Base excess-2 PaO2 78 mm Hg
Saturation 80%
Bicarbonate 26 mEq/L
Question 3 of 5
A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGS?
Correct Answer: C
Rationale: Low pH and elevated PaCO2 indicate respiratory acidosis due to hypoventilation retaining carbon dioxide.
Extract:
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
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.