Questions 60

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ATI Advanced Med Surg Exam 3 Questions

Extract:


Question 1 of 5

Which statement by the nurse when explaining the purpose of positive end-expiratory pressure (PEEP) to the patient's caregiver is accurate?

Correct Answer: A

Rationale: PEEP maintains alveolar patency at the end of expiration, preventing collapse and improving oxygenation.

Question 2 of 5

A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Pre-oxygenation prevents hypoxemia during suctioning, which can cause tachycardia and arrhythmias.

Question 3 of 5

A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?

Correct Answer: D

Rationale: A pulse deficit between apical and radial pulses indicates irregular ventricular contractions typical of atrial fibrillation.

Question 4 of 5

A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?

Correct Answer: C

Rationale: Atrial fibrillation causes an irregularly irregular heart rhythm, leading to palpitations, fatigue, dizziness, and a pulse deficit due to inconsistent ventricular contractions.

Question 5 of 5

Which statement by the nurse when explaining the purpose of positive end-expiratory pressure (PEEP) to the patient's caregiver is accurate?

Correct Answer: A

Rationale: PEEP maintains alveolar patency at the end of expiration, preventing collapse and improving oxygenation.

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