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ATI MED-SURG EXAM 1 QUESTIONS WITH COMPLETE DETAILED ANSWERS 2023
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ATI MED-SURG EXAM 1 QUESTIONS WITH COMPLETE DETAILED ANSWERS 2023
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ATI MED-SURG EXAM 1 QUESTIONS WITH COMPLETE DETAILED ANSWERS 20231. A nurse is orienting a newly licensed nurse on the care of a client who is receiving hemodynamic monitoring. Which of the following statements by the newly licensed nurse indicates the teaching was effective?
A. "Air should be instilled into the monitoring system."
B. "The client should be in the prone position."
C. "The transducer should be level with the 2nd intercostal space."
D. "A chest x-ray is needed to verify placement. - ANSWER- A chest x-ray is obtained to
confirm proper placement of the lines.
2. A nurse is caring for a client following a coronary artery bypass graft (CABG). Hemodynamic monitoring has been initiated. Which of the following actions by the nurse
facilitate correct monitoring readings? (Select all that apply.) A. Place the client in high-Fowler's position. B. Level transducer to phlebostatic axis. C. Zero transducer to room air. D. Observe trends in readings. E. Compare readings to physical assessment. - ANSWER- B. CORRECT: The level of the transducer should be at the phlebostatic axis (right atrium) to ensure an accurate reading is obtained. C. CORRECT: The transducer is zeroed to room air to ensure an accurate reading is obtained. Hemodynamic pressure lines should be calibrated to read atmospheric pressure as zero. D. CORRECT: The trend of the client's pressure readings assists in providing appropriate medical treatment. E. CORRECT: Readings are compared to the client's physical assessment findings to evaluate the client's condition and the appropriate treatment provided.
3. A nurse is caring for a client who is receiving hemodynamic monitoring and has the following hemodynamic readings: PAS 34 mm Hg, PAD 21 mm Hg, PAWP 16 mm Hg, and CVP 12 mm Hg. For which of the following is the client at risk? (Select all that apply.) A. Heart failure B. Cor pulmonale C. Hypovolemic shock D. Pulmonary hypertension E. Peripheral edem - ANSWER- A. CORRECT: Heart failure is associated with left ventricular failure and would be indicated by elevated hemodynamic readings. B. CORRECT: Cor pulmonale is associated with the right side of the heart, and pulmonary problems would be indicated by elevated hemodynamic readings. D. CORRECT: Pulmonary hypertension is associated with high blood pressure in the pulmonary arteries, affects the right side of the heart, and would be indicated by elevated hemodynamic readings. E. CORRECT: Peripheral edema is associated with left ventricular failure and would be
indicated by elevated hemodynamic readings.
4. A nurse is teaching a client the importance of remaining still following angiography. Which of the following is an appropriate statement by the nurse?
A. "Moving in bed raises your blood pressure."
B. "Too much activity increases your risk for infection."
C. "Moving in bed increases your risk of a complication due to anesthesia."
D. "Too much activity places you at risk for bleeding." - ANSWER- Following angiography, it is important that the client lie still due to the increased risk for bleeding at the insertion site.
5. A nurse is reviewing a new prescription to administer 0.9% sodium chloride IV at 50 mL/hr to a client who is receiving hemodynamic monitoring and has an indwelling IV catheter in the left hand. Which of the following sites can be used for administering this solution? (Select all that apply.) A. Peripheral saline lock B. Port on the arterial line C. Port on proximal (CVP) lumen of pulmonary artery (PA) catheter D. Port on distal lumen of PA catheter E. Balloon inflation port - ANSWER- A. CORRECT: IV fluid administration can occur via
a lock on a peripheral IV catheter. C. CORRECT: The proximal (CVP) lumen of a PA catheter is used for hemodynamic monitoring and can also be used for IV fluid administration.
1. A nurse on a cardiac unit is caring for a group of clients. The nurse should recognize which of the following clients as being at risk for the development of a dysrhythmia? (Select all that apply.) A. A client who has metabolic alkalosis B. A client who has a serum potassium level of 4.3 mEq/L C. A client who has an SaO2 of 96% D. A client who has COPD E. A client who underwent stent placement in a coronary artery - ANSWER- A. CORRECT: A client who has an acid-base imbalance such as metabolic alkalosis is at risk for a dysrhythmia. D. CORRECT: A client who has lung disease, such as COPD, is at risk for a dysrhythmia. E. CORRECT: A client who has cardiac disease and underwent a stent placement is at risk for a dysrhythmia.
3. A nurse is caring for a client who experienced defibrillation. Which of the following should be included in the documentation of this procedure? (Select all that apply.)
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