ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 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.
Extract:
Nurses' Notes
0930:
The client arrives to the ED and reports a "fluttering" and "racing" heartbeat. The client also reports dizziness and shortness of breath.
0945:
Client placed on telemetry, cardiac rhythm is irregular, tachycardia and has unclear P waves. 0955:
Doctor in to assess patient. Orders received.
Vital Signs
0940:
Blood pressure 165/88 mm Hg Pulse rate 126/min Respiratory rate 22/min
Oxygen saturation 94% on room air
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale:
Extract:
Question 3 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 4 of 5
A client with acute respiratory distress syndrome (ARDS) shows no improvement despite increases in concentration in oxygen administered. What intervention should the nurse attempt which may improve ventilation-perfusion matching?
Correct Answer: A
Rationale: Prone positioning improves ventilation-perfusion matching in ARDS by redistributing ventilation to better-perfused lung regions.
Question 5 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.