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ATI RN · Critical Care Nursing · Critical Care Nursing Questions and Answers PDF

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a patient who has sustained blunt trauma to the left flank area, and is evaluating the patient's urinalysis results. The nurse should become concerned when

A. creatinine levels in the urine are similar to blood levels of creatinine.

B. sodium and chloride are found in the urine.

C. urine uric acid levels have the same values as serum levels.

D. red blood cells and albumin are found in the urine.

Expert Explanatory Rationale

Correct Answer: red blood cells and albumin are found in the urine.

Question 2 of 5

The emergency department (ED) nurse is initiating therapeutic hypothermia in a patient who has been resuscitated after a cardiac arrest. Which actions in the hypothermia protocol can be delegated to an experienced licensed practical/vocational nurse (LPN/LVN) (select all that apply)?

A. Continuously monitor heart rhythm.

B. Check neurologic status every 2 hours.

C. Place cooling blankets above and below the patient.

D. Give acetaminophen (Tylenol) 650 mg per nasogastric tube.

Expert Explanatory Rationale

Correct Answer: Give acetaminophen (Tylenol) 650 mg per nasogastric tube.

Question 3 of 5

What factors associated with the critical care unit can pred ispose the client to increased pain and anxiety? (Select all that apply.)

A. Presence of an endotracheal tub

B. Frequent vital sign assessment

C. Monitor alarms

D. Room temperature

Expert Explanatory Rationale

Correct Answer: Presence of an endotracheal tub

Question 4 of 5

A patient in a critical care unit has increased stress from the constant noise and light levels. What nursing intervention best attenuates these sources of stress?

A. Need for constant observation and evaluation

B. Dimming lights during the night

C. Frequent nursing group rounds for all patients

D. Use of tile floors for ease in cleaning

Expert Explanatory Rationale

Correct Answer: Dimming lights during the night

Question 5 of 5

The nurse is caring for a very seriously ill patient in the CCU. The family visits sporadically, stays for only a short time, and does not ask many questions. How could the nurse best begin to involve the family in the patients care?

A. Ask one family member to assist with the patients bath.

B. Encourage family members to stay longer at each visit.

C. Focus nursing efforts on the patients legal next of kin.

D. Ask the family to complete the Critical Care Family Needs Inventory.

Expert Explanatory Rationale

Correct Answer: Ask the family to complete the Critical Care Family Needs Inventory.

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