ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering oxygen addresses hypoxemia and supports respiratory effort in a client with a sucking chest wound.
Question 4 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 5 of 5
A nurse is preparing a client for transfer to the ICU for placement of a pulmonary artery catheter. The nurse should explain to the client that this catheter is used to monitor which of the following conditions?
Correct Answer: D
Rationale: A pulmonary artery catheter monitors hemodynamic status, providing data on cardiac output, pulmonary pressures, and preload.