ATI MED SURG EXAM 2 2025 (UPDATED 2025) STUDYGUIDE

ATI MED SURG EXAM 2 2025 (UPDATED 2025) STUDYGUIDEQuestion 1 Correct Mark 1.00 out of 1.00 Flag question Question text The nurse is caring for a patient who has septic shock. Which assessment finding is most important for the nurse to report to the health care provider? Select one: a. Skin cool and clammy Because patients in the early stage of septic shock have warm and dry skin, the patient's cool andclammy skin indicates that shock is progressing. The other information will also be reported, but does not indicate deterioration of the patient's status. b. Oxygen saturation 93% c. Blood pressure (BP) 92/56 mm Hg d. Heart rate 118 beats/minute Feedback The correct answer is: Skin cool and clammy Question 2 Correct Mark 1.00 out of 1.00 Flag question Question text The following interventions are ordered by the health care provider for a patient who has respiratory distress and syncope after eating strawberries. Which will the nurse complete first?Select one: a. Start a normal saline infusion. b. Give diphenhydramine (Benadryl). c. Start continuous ECG monitoring. d. Give epinephrine (Adrenalin). Epinephrine rapidly causes peripheral vasoconstriction, dilates the bronchi, and blocks the effectsof histamine and reverses the vasodilation, bronchoconstriction, and histamine release that causethe symptoms of anaphylaxis. The other interventions are also appropriate but would not bethefirst ones completed. ONLYSTUDENTS STORE 2025 ALLLTHE BEST ONLYSTUDENTS STORE 2 DO NOT COPY Feedback The correct answer is: Give epinephrine (Adrenalin). Question 3 Correct Mark 1.00 out of 1.00 Flag question Question text After reviewing the information shown in the accompanying figure for a patient with pneumoniaand sepsis, which information is most important to report to the health care provider? Select one: a. Oxygen saturation and breath sounds b. Blood pressure, pulse rate, respiratory rate. c. Temperature and IV site appearance d. Platelet count and presence of petechiae The low platelet count and presence of petechiae suggest that the patient may have disseminatedintravascular coagulation and that multiple organ dysfunction syndrome (MODS) is developing. The other information will also be discussed with the health care provider but does not indicatethat the patient's condition is deteriorating or that a change in therapy is needed immediately. Feedback The correct answer is: Platelet count and presence of petechiae Question 4 Correct Mark 1.00 out of 1.00 Flag question Question text ONLYSTUDENTS STORE 2025 ALLLTHE BEST ONLYSTUDENTS STORE 3 DO NOT COPY A nurse is caring for a patient with shock of unknown etiology whose hemodynamic monitoringindicates BP 92/54, pulse 64, and an elevated pulmonary artery wedge pressure. Which collaborative intervention ordered by the health care provider should the nurse question? Select one: a. Hold nitroprusside (Nipride) if systolic BP 90 mm Hg. b. Titrate dobutamine (Dobutrex) to keep systolic BP 90 mm Hg. c. Infuse normal saline at 250 mL/hr. The patient's elevated pulmonary artery wedge pressure indicates volume excess. Asaline infusion at 250 mL/hr will exacerbate the volume excess. The other actions are appropriate for the patient. d. Keep head of bed elevated to 30 degrees. Feedback The correct answer is: Infuse normal saline at 250 mL/hr. Question 5 Correct Mark 1.00 out of 1.00 Flag question Question text Which drug is not considered a positive inotrope? Select one: a. Metoprolol (Lopressor) Correct; Metoprolol is a negative inotrope, it decreases the contractility of the myocardiumb. Epinephrine (Adrenalin) c. Digoxin (Lanoxin) d. Dobutamine (Dobutrex) Feedback Your answer is correct. The correct answer is: Metoprolol (Lopressor) Question 6 Correct Mark 1.00 out of 1.00 Flag question ONLYSTUDENTS STORE 2025 ALLLTHE BEST ONLYSTUDENTS STORE 4 DO NOT COPY Question text A client is admitted to an emergency department with chest pain that is being ruled out for myocardial infarction. Vital signs are as follows: at 11 am - HR 92 RR 24 B/P 140/88; 11:15am - HR 96 RR 26 B/P 128/82; 11:30 am - HR 104 RR 28 B/P 104/68; 11:45 - HR118RR 32 B/P 88/58. The nurse should alert the physician because these changes are most consistent with which of the following complications? Select one: a. Cardiogenic shock Correct: Cardiogenic shock occurs with severe damage(more than 40%) to the left ventricle. Classic signs include hypotension, a rapid pulse that becomes weaker, decreased urine output, and cool, clammy skin. Respiratory rate increases as the body develops metabolic acidosis fromshock. Cardiac tamponade is accompanied by distant, muffled heart sounds and prominent neckvessels. Pulmonary embolism presents suddenly with severe dyspnea accompanying the chest pain. Dissecting aortic aneurysms usually are accompanied by back pain. b. Dissecting thoracic aortic aneurysm c. Cardiac tamponade d. Pulmonary embolism Feedback Your answer is correct. Level of Cognitive Ability: Analysis Client Needs: Physiological Integrity Integrated Process: Nursing Process - Analysis References: Saunderrs Comprehensive Review 5th edition The correct answer is: Cardiogenic shock Question 7 Correct Mark 1.00 out of 1.00 Flag question Question text Which finding about a patient who is receiving vasopressin (Pitressin) to treat septic shockis most important for the nurse to communicate to the health care provider? Select one: ONLYSTUDENTS STORE 2025 ALLLTHE BEST ONLYSTUDENTS STORE 5 DO NOT COPY a. The patient's urine output is 18 mL/hr. b. The patient's heart rate is 110 beats/minute. c. The patient is complaining of chest pain. Because vasopressin is a potent vasoconstrictor, it may decrease coronary artery perfusion. Theother information is consistent with the patient's diagnosis and should be reported to the healthcare provider but does not indicate a need for a change in therapy. d. The patient's peripheral pulses are weak. Feedback The correct answer is: The patient is complaining of chest pain. Question 8 Complete Mark 1.00 out of 1.00 Flag question Question text A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/minute. The label on the infusion bag states: dobutamine 250 mg in 250 mL normal saline. When setting the infusionpump, the nurse will set the infusion rate at how many mL per hour? 27 Comments Comment: Question 9 Correct Mark 1.00 out of 1.00 Flag question Question text A patient who has been involved in a motor vehicle crash arrives in the emergency department (ED) with cool, clammy skin; tachycardia; and hypotension. Which intervention ordered bythehealth care provid