ATI Questions PCC4 Final Questions And Answers With Verified Tests 100% Correct Answers
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Course
ATI PCC4
Institution
ATI PCC4
A nurse is reviewing the health records of five clients. Which of the following clients are
at risk for developing ARDS? (Select all)
A. A client who experienced a near-drowning incident
B. A client following CABG
C. A client who has a Hgb of 15.1
D. A client who has dysphagia
E. A client who...
ATI Questions PCC4 Final
A nurse is reviewing the health records of five clients. Which of the following clients are
at risk for developing ARDS? (Select all)
A. A client who experienced a near-drowning incident
B. A client following CABG
C. A client who has a Hgb of 15.1
D. A client who has dysphagia
E. A client who experienced a drug overdose - Answer-A. A client who experienced a
near-drowning incident
B. A client following CABG
D. A client who has dysphagia
E. A client who experienced a drug overdose
A nurse is planning care for a client who has severe SARS. Which of the following
should be included in the plan of care for this client? (Select all)
A. Administration of antibiotics
B. Providing supplemental oxygen
C. Administration of antiviral medications
D. Administration of bronchodilators
E. Maintaining ventilatory support - Answer-B. Providing supplemental oxygen
D. Administration of bronchodilators
E. Maintaining ventilatory support
A nurse is caring for a client who is receiving vecuronium (Norcuron) for ARDS. Which
of the following medications should the nurse anticipate administering with this
medication? (Select all)
A. Fentanyl (Duragesic)
B. Furosemide (Lasix)
C. Midazolam (Versed)
D. Famotidine (Pepcid)
E. Dexamethasone (Decadron) - Answer-A. Fentanyl (Duragesic)
C. Midazolam (Versed)
A nurse is caring for a client who was recently admitted to the ER following a head-on
MVA. The client is unresponsive, has spontaneous respirations of 22/min and a
laceration on his forehead that is bleeding. Which of the following is the priority nursing
actions at this time?
A. Keep neck stabilized
B. Insert nasogasrtic tube
C. Monitor pulse and BP frequently
D. Establish IV access and start fluid replacement - Answer-A. Keep neck stabilized
, A nurse if caring for a client who has just been admitted following surgical evacuation of
a subdural hematoma. Which of the following is the priority nursing assessment?
A. Glasgow coma scale
B. Cranial nerve function
C. Oxygen stats
D. Pupillary response - Answer-C. Oxygen stats
A nurse is caring for a client who has a closed-head injury with ICP readings ranging
from 16 to 22mmHg. Which of the following actions should the nurse take to decrease
the potential for raising the client's ICP? (Select all)
A. Suction the ET tube
B. Hyperventilate the client
C. Elevate the client's head on two pillows
D. Administer a stool softener
E. Keep the client well hydrated - Answer-B. Hyperventilate the client
D. Administer a stool softener
hyperventilation prevents hypercarbia which causes vasodilation and increases ICP
A nurse in the ICU is completing an admission assessment of a client who has a
gunshot wound to the head. Which of the following assessment findings are indicative of
increased ICP? (Select all)
A. Headache
B. Dilated pupils
C. Tachypnea
D. Decoricate posturing
E. Hypotension - Answer-A. Headache
B. Dilated pupils
D. Decoricate posturing
A nurse is caring for a client who has increased ICP and a new prescription for mannitol
(Osmitrol). For which of the following adverse effects should the nurse monitor?
A. Hyperglycemia
B. Hyponatremia
C. Hypervolemia
D. Oliguria - Answer-B. Hyponatremia
A nurse is preparing to care for a client following chest tube placement. Which of the
following items should be available in the client's room? (Select all)
A. Oxygen
B. Sterile water
C. Enclosed hemostat clamps
D. Indwelling urinary catheter
E. Occlusive dressing - Answer-A. Oxygen
B. Sterile water
C. Enclosed hemostat clamps
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