Ati rn comprehensive predictor 2019

ATI RN COMPREHENSIVE PREDICTOR 2019 FORM A
S S S S S S




1. TheSnurseSsuspectsStheSpatientShasSincreasedSafterload.SWhichSpieceSofSequipm
entSshouldStheSnurseSobtainStoSdetermineStheSpresenceSofSthis
condition?
a. PulseSoximeter



b. OxygenScannula
c. BloodSpressureScuff



d. YankauerSsuctionStipScatheter



ANS:SC

ASbloodSpressureScuffSisSneeded.STheSdiastolicSaorticSpressureSisSaSgoodSclinicalSmea
sureSofSafterload.SAfterloadSisStheSresistanceStoSleftSventricularSejection.SInShyperte
nsionStheSafterloadSincreases,SmakingScardiacSworkloadSalsoSincrease.SASpulseSoxim
eterSisSusedStoSmonitorStheSlevelSofSarterialSoxygenSsaturation;SitSwillSnotShelpSdeter
mineSincreasedSafterload.SWhileSanSoxygenScannulaSmaySbeSneededStoShelpSdecrea
seStheSeffectsSofSincreasedSafterload,SitSwillSnotShelpSdetermineStheSpresenceSofSafte
rload.SASYankauerSsuctionStipScatheterSisSusedStoSsuctionStheSoralScavity.

2. ASpatientShasSheartSfailureSandScardiacSoutputSisSdecreased.SWhichSformul
aScanStheSnurseSuseStoScalculateScardiacSoutput?
a. MyocardialS contractilityS ×S MyocardialS bloodS flow



b. VentricularSfillingStime/DiastolicSfillingStime
c. StrokeSvolumeS×SHeartSrate



d. Preload/Afterload



ANS:SC

236

,CardiacSoutputScanSbeScalculatedSbySmultiplyingStheSstrokeSvolumeSandStheSheartSr
ate.STheSotherSoptionsSareSnotSmeasuresSofScardiacSoutput.

3. ASpatient’sSheartSrateSincreasedSfromS94StoS164Sbeats/min.SWhatSwillStheSnurseSe
xpect?
a. IncreaseSinSdiastolicSfillingStime



b. DecreaseSinShemoglobinSlevel
c. DecreaseSinScardiacSoutput



d. IncreaseSinSstrokeSvolume



ANS:SC

WithSaSsustainedSheartSrateSgreaterSthanS160Sbeats/min,SdiastolicSfillingStimeSdecre
ases,SdecreasingSstrokeSvolumeSandScardiacSoutput.STheShemoglobinSlevelSwouldSn
otSbeSaffected.

4. TheSnurseSisScarefulStoSmonitorSaSpatient’sScardiacSoutput.SWhichSgoalSisStheSnur
seStryingStoSachieve?
a. ToSdetermineSperipheralSextremityScirculation



b. ToSdetermineSoxygenationSrequirements
c. ToS determineS cardiacS dysrhythmias



d. ToS determineS ventilationS status



ANS:SA

CardiacSoutputSindicatesShowSmuchSbloodSisSbeingScirculatedSsystemicallySthroug
houtStheSbodyStoStheSperiphery.STheSamountSofSbloodSejectedSfromStheSleftSventricl
eSeachSminuteSisStheScardiacSoutput.SOxygenSstatusSwouldSbeSdeterminedSbySpuls
eSoximetrySandStheSpresenceSofScyanosis.SCardiacSdysrhythmiasSareSanSelectrical

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, impulseSmonitoredSthroughSECGSresults.SVentilationSstatusSisSmeasuredSbySre
spiratorySrate,SpulseSoximetry,SandScapnography.SCapnographySprovidesSinst
antSinformationSaboutStheSpatient’sSventilation.SVentilationSstatusSdoesSnotSd
ependSsolelySonScardiacSoutput.




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