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ATI RN · Critical Care Nursing · Critical Care Nursing Cardiac Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a patient in the critical care unit whaobi,r ba.cfotemr/ tebset ing declared brain dead, is being managed by the OPO transplant coordinator. Thir ty minutes into the shift, assessment by the nurse includes a blood pressure 75/50 mm Hg, hear t rate 85 beats/min, and respiratory rate 12 breaths/min via assist/control ventilation. The oxygen saturation (SpO ) is 99% and 2 core temperature 93.8° F. Which primary care provider ord er should the nurse implement first?

A. Apply forced air warming device to keep temperature > 96.8° F
B. Obtain basic metabolic panel every 4 hours until surgery
C. Begin phenylephrine (Neo-Synephrine) for systolic BP < 90 mm Hg
D. Draw arterial blood gas every 4 hours until surgery

Expert Explanatory Rationale

Correct Answer: Begin phenylephrine (Neo-Synephrine) for systolic BP < 90 mm Hg

Question 2 of 5

The nurse educator is evaluating the performance of a new registered nurse (RN) who is providing care to a patient who is receiving mechanical ventilation with 15 cm H2O of peak end-expiratory pressure (PEEP). Which action indicates that the new RN is safe?

A. The RN plans to suction the patient every 1 to 2 hours.
B. The RN uses a closed-suction technique to suction the patient.
C. The RN tapes the connection between the ventilator tubing and the ET.
D. The RN changes the ventilator circuit tubing routinely every 48 hours.

Expert Explanatory Rationale

Correct Answer: The RN uses a closed-suction technique to suction the patient.

Question 3 of 5

A male client is angry and is leaving the hospital against medical advice (AMA). The client demands to take his chart with him and states the chart is 'his' and he doesn't want any more contact with the hospital. How should the nurse respond?

A. This hospital does not need to keep it if you are leaving and not returning here.
B. Because you are leaving against medical advice, you may not have your chart.
C. The information in your chart is confidential and cannot leave this facility legally.
D. The chart is the property of the hospital but I will see that a copy is made for you.

Expert Explanatory Rationale

Correct Answer: The chart is the property of the hospital but I will see that a copy is made for you.

Question 4 of 5

What term is used to describe a specific request made by a competent person that directs medical care related to life-prolonging procedures if the pa tient loses capacity to make decisions?

A. Do not resuscitate order
B. Healthcare proxy
C. Informed consent
D. Living will

Expert Explanatory Rationale

Correct Answer: Living will

Question 5 of 5

A client who is taking clonidine (Catapres, Duraclon) reports drowsiness. Which additional assessment should the nurse make?

A. Has the client experienced constipation recently?
B. Did the client miss any doses of the medication?
C. How long has the client been taking the medication?
D. Does the client use any tobacco products?

Expert Explanatory Rationale

Correct Answer: How long has the client been taking the medication?

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