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ATI CRITICAL CARE EXAM QUESTIONS AND ANSWERS UPDATED
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ATI CRITICAL CARE EXAM QUESTIONS AND ANSWERS UPDATED
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ATI CRITICAL CARE EXAM QUESTIONS ANDANSWERS UPDATED 2024 - 2025
Before,PFT's,how,long,should,a,patient,refrain,from,smoking?,Using,an,inhaler?,,ANS,-,,smoking:,6-8,h
inhaler:,4-6,h
What,test,must,you,do,before,performing,an,arterial,puncture?,,ANS,-
,,Allen's,test;,patency,of,the,ulnar,artery-
,if,blood,returns,to,hand,in,15s,,then,the,radial,artery,can,be,used,for,the,puncture
How,long,should,one,apply,pressure,after,an,arterial,puncture?,,ANS,-
,,5,minutes,(20,min,if,the,patient,is,on,anticoagulant,therapy)
What,are,the,normal,ranges,for,ABG's?,
(pH,,PAO2,,PACO2,,HCO3,,and,SAO2),,ANS,-,,pH:,7.35-7.45
PAO2:,80-100,mm,Hg
PACO2:,35-45,mm,Hg
HCO3:,21-28,mEq/L
SAO2:,95-100%
In,what,position,should,you,place,a,patient,if,air,embolism,is,expected?,,ANS,-,,left,side,in,trendelenburg
How,long,must,a,patient,be,NPO,before,a,bronchoscopy?,,ANS,-,,4-8,hr
What,types,of,medications,might,one,administer,prior,to,a,bronchoscopy?,,ANS,-,,anxiolytics
atropine,(to,treat,bradycardia)
viscous,lidocaine
local,anesthetic,throat,spray
,What,should,you,be,monitoring,a,patient,for,after,a,bronchoscopy?,,ANS,-
,,significant,fever,(mild,is,ok,up,to,24,hrs,after,the,procedure),,productive,cough,,significant,blood,in,sput
um,(small,amounts,are,to,be,expected),,hypoxemia,,laryngspasm
Prior,to,a,thoracentesis,what,diagnostic,procedure,must,be,done?,,ANS,-,,CXR
What,position,should,the,patient,be,in,for,a,thoracentesis?,,ANS,-,,sitting,up,over,the,bedside,table
What,are,possible,complications,of,a,thoracentesis?,How,do,we,tell,patients,to,identify,pneumothorax?,,
ANS,-,,mediastinal,shifts
pneumothorax,(deviated,trachea,,pain,at,the,end,of,inhalation,or,exhalation,,affected,side,not,moving,wi
th,breath,,increased,HR,,shallow,respirations,,nagging,cough,,air,hunger)
In,what,chest,tube,chamber,(ONLY),should,you,see,bubbling?,,ANS,-,,suction
What,is,excessive,drainage,from,a,chest,tube?,,ANS,-,,more,than,70,ml/hr
How,should,the,nurse,document,for,care,following,a,chest,tube?,How,often?,,ANS,-
,,color,and,amount,of,drainage,qh,for,24h,after,insertion,,then,q8h
mark,date,,hour,,and,drainage,level,on,the,container,at,the,end,of,each,shift
What,supplies,should,be,kept,at,the,side,of,a,bed,for,a,patient,with,a,chest,tube?,,ANS,-
,,2,enclosed,hemostats,,sterile,water,,occlusive,dressing
What,should,the,nurse,instruct,the,patient,to,do,during,chest,tube,removal?,,ANS,-,,valsalva,maneuver
What,should,the,nurse,do,in,the,case,that,a,chest,tube,is,disconnected?,,ANS,-
,,1.,have,the,client,exhale,as,much,as,they,can,to,remove,air,from,the,pleural,space
2.,immerse,the,end,of,the,chest,tube,in,sterile,water,to,restore,the,water,seal
3.,apply,dry,sterile,gauze
,What,is,the,FiO2,and,the,flow,rate,for,a,nasal,cannula?,at,what,rate,do,we,need,to,administer,humidifica
tion?,,ANS,-,,24-44%
1-6,L/min
humidification,at,4,L/min
What,is,the,FiO2,and,the,flow,rate,for,a,simple,face,mask?,,ANS,-,,40-60%
5-8,L/min,(less,than,this,causes,the,patient,to,rebreathe,CO2)
What,is,the,FiO2,and,the,flow,rate,for,a,partial,rebreather,mask?,,ANS,-,,40-75%
6-11,L/min
What,is,the,FiO2,and,the,flow,rate,for,a,non-rebreather?,,ANS,-,,80-95%
10-15,L/min
What,is,the,FiO2,and,the,flow,rate,for,a,venturi,mask?,,ANS,-,,24-50%
4-10,L/min
What,is,the,FiO2,and,the,flow,rate,for,a,aerosol,face,mask,,face,tent,,t-piece,,and,trach,collar?,,ANS,-,,24-
100%
10,L/min,at,least
***,Humidification,requires,frequent,monitoring
What,does,hypercarbia,look,like?,,ANS,-,,restlessness,,hypertension,,HA
What,does,oxygen,toxicity,look,like?,,ANS,-,,non-
productive,cough,,substernal,pain,,nasal,stuffiness,,n/v,,fatigue,,HA,,sore,throat,,hypoventillation
How,does,assist,control,(AC),work,related,to,respiratory,support?,,ANS,-
,,overtakes,breathing,for,an,intubated,client
, How,does,synchronized,intermittent,mandatory,ventilation,(SIMV),work,related,to,respiratory,support?,,
ANS,-,,used,in,weaning;,increases,the,work,of,breathing
ventilator,and,patient,work,together
How,does,assist,inverse,ratio,ventillation,(IVR),work,related,to,respiratory,support?,,ANS,-
,,prolongs,the,inspiration,phase,to,maximize,oxygenation
HIGH,RISK,FOR,VOLUTRAUMA
How,does,airway,pressure,release,ventilation,(APRV),work,related,to,respiratory,support?,,ANS,-
,,patient,and,ventilator,work,together
breath,expelled,by,the,lung's,own,natural,recoil
How,does,independent,lung,ventilation,work,related,to,respiratory,support?,,ANS,-
,,lungs,are,ventilated,separately
need:,2,ventilators,,sedation,,neuromuscular,blocking,agents
How,does,PEEP,work,related,to,respiratory,support?,,ANS,-,,preset,pressure,on,expiration
added,to,treat,persistent,hypoxemia
How,does,pressure,support,ventilation,(PSV),work,r/t,respiratory,support?,,ANS,-
,,greater,oxygenation,,makes,the,work,of,breathing,easier,,prevents,alveolar,collapse
How,do,you,document,the,placement,of,a,tube,for,mechanical,ventilation?,,ANS,-
,,in,cm,at,the,client's,teeth,or,lips
What,do,the,three,ventilator,alarms,indicate?,(volume,,pressure,,and,apnea,alarms),,ANS,-
,,volume,(low,pressure):,low,exhaled,volume,due,to,a,disconnection,,cuff,leak,,or,tube,displacement
pressure,(high,pressure):,excess,secretions,,client,biting,the,tube,,kinks,in,the,tubing,,coughing,,pulmona
ry,edema,,bronchospasm,,and,pneumothorax
apnea:,ventilator,does,not,detect,spontaneous,respiration,in,a,set,time,period
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