RN 402 ATI Shock Practice Questions With 100%Verified Answers A+GRADED
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Course
ATI Shock
Institution
ATI Shock
RN 402 ATI Shock Practice Questions With 100%Verified Answers A+GRADED
When caring for a patient with pulmonary hypertension, which parameter is most appropriate for the nurse to
monitor to evaluate the effectiveness of the treatment?
A. Central venous pressure (CVP)
B. Systemic vascular resi...
RN 402 ATI Shock Practice Questions
With 100%Verified Answers A+GRADED
When caring for a patient with pulmonary hypertension, which parameter is most
appropriate for the nurse to
monitor to evaluate the effectiveness of the treatment?
A. Central venous pressure (CVP)
B. Systemic vascular resistance (SVR)
C. Pulmonary vascular resistance (PVR)
D. Pulmonary artery wedge pressure (PAWP) - correct answer...✔✔C. Pulmonary
vascular resistance (PVR)
Rationale: ANS: 3PVR is a major contributor to pulmonary hypertension, and a
decrease would indicate
that pulmonary hypertension was improving. The other parameters also may be
monitored but
A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours.
The pulse rate is 120/minute
and the central venous pressure and pulmonary artery wedge pressure are low. Which
order by the health care
provider will the nurse question?
A. Give PRN furosemide (Lasix) 40 mg IV.
B. Increase normal saline infusion to 250 mL/hr.
C. Administer hydrocortisone (Solu-Cortef) 100 mg IV.
D. Titrate norepinephrine (Levophed) to keep systolic BP >90 mm Hg - correct answer...
✔✔A. Give PRN furosemide (Lasix) 40 mg IV.
Rationale: ANS: 1Furosemide will lower the filling pressures and renal perfusion further
for the patient
with septic shock. The other orders are appropriate.
Following surgery for an abdominal aortic aneurysm, a patient's central venous pressure
(CVP) monitor indicates
low pressures. Which action is a priority for the nurse to take?
A. Administer IV diuretic medications.
B. Increase the IV fluid infusion per protocol.
C. Document the CVP and continue to monitor.
D. Elevate the head of the patient's bed to 45 degrees - correct answer...✔✔B.
Increase the IV fluid infusion per protocol.
Rationale: ANS: 2A low CVP indicates hypovolemia and a need for an increase in the
infusion rate.
Diuretic administration will contribute to hypovolemia and elevation of the head may
decrease
cerebral perfusion. Documentation and continued monitoring is an inadequate response
to the
AGRADESOLUTIONS
, low CVP.
A nurse is caring for a client who sustained blood loss. Which of the following is a
manifestation of hypovolemia?
A. Decreased heart rate
Rationale: The heart rate of a client with hypovolemia will be increased.
B. Dyspnea
Rationale: Dyspnea is characteristic of respiratory conditions, but is not usually
associated with
hypovolemia.
C. Increased blood pressure
Rationale: The client's blood pressure will decrease due to decreased blood volume.
D. Thready pulse - correct answer...✔✔D. Thready pulse
Rationale: A decreased volume of circulating blood and less pressure within the vessels
results in weak thready peripheral pulses and flattened neck veins
A nurse is caring for client whose throat culture is positive for group A streptococcus 24
hr after the rapid strep test (RST) was negative. Which of the following is the priority
nursing action? - correct answer...✔✔A. Notify the client to return to the clinic for
initiation of antibiotic therapy
A nurse is assessing a client who has an 8 score using the Glasgow Coma Scale to
evaluate levels of
consciousness. Which of the following nursing statements most accurately describes
the score?
A. Indicates the need for total nursing care
B. Reflects an alert client
C. Indicates a client in a deep coma
D. Indicates stable neurological status - correct answer...✔✔A. Indicates the need for
total nursing care
Rationale: The nurse understands a Glasgow Coma score of 8 indicates the client is in
a coma and
requires total nursing care.
A client with a BMI of 60.2 kg/mm is admitted to the intensive care unit 3 weeks after
gastric bypass with gastric
rupture and impending MODS. What should the nurse prepare to implement first?
A. Platelet transfusion
B. Mechanical ventilation
C. Loop diuretic therapy
D. Cyanocobalamin administration - correct answer...✔✔B. Mechanical ventilation
AGRADESOLUTIONS
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