Page 1 of 50
Swift River ATI LATEST UPDATED VERSION THIS
YEAR WITH COMPLETE 200 QUESTIONS AND
SOLUTIONS JUST RELEASED
Question: Donald Lyles Scenario 2
The CODE-blue team arrives with a crash cart, Physician, Anesthetist, and 2 critical-care
nurses, and 1 Respiratory therapist. - CORRECT ANSWER✔✔1Assist with airway
management.Airway is the priority to ensure the patient is properly ventilated and the
airway is protected from aspiration.
2Assist with applying ECG leads.Assess rhythm to see what treatment is indicated.
3Establish large IV access.IV access must be established for rapid medication
administration.
4Provide patient history of event to team.In order to facilitate in establishing the
etiology of the cardiac event.
5Provide medical history - including medication history and allergies.To assess for
medication interactions, and information is necessary for proper treatment.
, Page 2 of 50
Question: Donald Lyles Scenario 3
You have now been assigned to document the ongoing event as the CODE team
continues with the resuscitation. - CORRECT ANSWER✔✔1Check time from one
source.Ensure accurate and consistent time progression.
2Establish when the cardiac event time began.Important to determine how long
resuscitation efforts to establish length of Hypoxia.
3Document rhythm used to determine medications to be administered.Necessary to
establish course of action.
4Begin list of medications and time/dose given.In accordance with ACLS protocol,
medications must be administered every 3-5 minutes during Cardiac arrest in order to
maximize effectiveness.
5Remind CODE team to stop CPR and check for pulse Q5 minutes.CPR must be paused to
check if patient has regained cardiac function.
Question: Donald Lyles Scenario 4
After 15 minutes, the patients rhythm returns, but he is still unresponsive. He is now in
Ventricular tachycardia with a weak pulse, and a BP of 70/40. Prepare to initiate Cardio-
version. - CORRECT ANSWER✔✔1Ensure cardio-pads are in place anterior chest and
posterior back.Ensure biphasic impulse is received to the heart.
, Page 3 of 50
2Charge the monitor to 200 J biphasic.Initial ACLS recommendation for shock is 200 J,
and second shock is increased to 360 J.
3Announce to CODE team that you are ready to cardiovert.Alerts CODE team for next
planned event in order to promote team safety.
4Announce "CLEAR, CLEAR, EVERYONE CLEAR".ACLS common understanding so that
team is prepared for the next event.
5Ensure no one in the room is touching the patient or the bed and cardiovert.Prevents
injury to team from electric shock.
Question: Arthur Thomason 56-year-old MVA victim, fourth day post op with a
splenectomy and femur repair. He is experiencing new onset of shortness of breath and
has a nasal cannula with 2L of Oxygen in place. He is restless with slight confusion but is
easily orientated with attempts from nurse. Temperature spiked during the night to
102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly
labored, heart rate 102 versus 84 from last night shift. Skin cool to touch and appears
pale. His coughing, to clear his airway, appears ineffective. Recent chest X-ray shows
diffuse bilateral interstitial infiltrates in all lobes. Recent blood gases demonstrate falling
PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Mr. Thomason is anxious and is
obviously worsened from the shift before in overall condition. - CORRECT
ANSWER✔✔Alteration in comfort: True
Alteration in gas exchange: True
, Page 4 of 50
Ineffectual airway clearance: True
Potential for shock: True
Prolonged confusion: True
Anxiety/fear: True
Potential for failure to thrive: True
Question: Charlie Raymond 65-year-old male who was admitted to a negative pressure
room on Med-Surg for COVID precautions.. He has a history of COPD, hypertension,
diabetes type II, and a recent myocardial infarction. He is a retired postal worker who
lives at home with his wife. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale
insulin. Initially this cardiologist was concerned about congestive heart failure and Mr.
Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema.
Vital Signs: BP is 145/78, Pulse 89 Respirations 24 and slightly labored, Temperature
100.2 SaO2 94% on 2L nasal cannula. The patient/family is fearing the worst due to
COVID-19 Pandemic. - CORRECT ANSWER✔✔Acute discomfort False
Alteration in body image False
Alteration in gas exchange True
Alteration in physical mobility True
Swift River ATI LATEST UPDATED VERSION THIS
YEAR WITH COMPLETE 200 QUESTIONS AND
SOLUTIONS JUST RELEASED
Question: Donald Lyles Scenario 2
The CODE-blue team arrives with a crash cart, Physician, Anesthetist, and 2 critical-care
nurses, and 1 Respiratory therapist. - CORRECT ANSWER✔✔1Assist with airway
management.Airway is the priority to ensure the patient is properly ventilated and the
airway is protected from aspiration.
2Assist with applying ECG leads.Assess rhythm to see what treatment is indicated.
3Establish large IV access.IV access must be established for rapid medication
administration.
4Provide patient history of event to team.In order to facilitate in establishing the
etiology of the cardiac event.
5Provide medical history - including medication history and allergies.To assess for
medication interactions, and information is necessary for proper treatment.
, Page 2 of 50
Question: Donald Lyles Scenario 3
You have now been assigned to document the ongoing event as the CODE team
continues with the resuscitation. - CORRECT ANSWER✔✔1Check time from one
source.Ensure accurate and consistent time progression.
2Establish when the cardiac event time began.Important to determine how long
resuscitation efforts to establish length of Hypoxia.
3Document rhythm used to determine medications to be administered.Necessary to
establish course of action.
4Begin list of medications and time/dose given.In accordance with ACLS protocol,
medications must be administered every 3-5 minutes during Cardiac arrest in order to
maximize effectiveness.
5Remind CODE team to stop CPR and check for pulse Q5 minutes.CPR must be paused to
check if patient has regained cardiac function.
Question: Donald Lyles Scenario 4
After 15 minutes, the patients rhythm returns, but he is still unresponsive. He is now in
Ventricular tachycardia with a weak pulse, and a BP of 70/40. Prepare to initiate Cardio-
version. - CORRECT ANSWER✔✔1Ensure cardio-pads are in place anterior chest and
posterior back.Ensure biphasic impulse is received to the heart.
, Page 3 of 50
2Charge the monitor to 200 J biphasic.Initial ACLS recommendation for shock is 200 J,
and second shock is increased to 360 J.
3Announce to CODE team that you are ready to cardiovert.Alerts CODE team for next
planned event in order to promote team safety.
4Announce "CLEAR, CLEAR, EVERYONE CLEAR".ACLS common understanding so that
team is prepared for the next event.
5Ensure no one in the room is touching the patient or the bed and cardiovert.Prevents
injury to team from electric shock.
Question: Arthur Thomason 56-year-old MVA victim, fourth day post op with a
splenectomy and femur repair. He is experiencing new onset of shortness of breath and
has a nasal cannula with 2L of Oxygen in place. He is restless with slight confusion but is
easily orientated with attempts from nurse. Temperature spiked during the night to
102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly
labored, heart rate 102 versus 84 from last night shift. Skin cool to touch and appears
pale. His coughing, to clear his airway, appears ineffective. Recent chest X-ray shows
diffuse bilateral interstitial infiltrates in all lobes. Recent blood gases demonstrate falling
PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Mr. Thomason is anxious and is
obviously worsened from the shift before in overall condition. - CORRECT
ANSWER✔✔Alteration in comfort: True
Alteration in gas exchange: True
, Page 4 of 50
Ineffectual airway clearance: True
Potential for shock: True
Prolonged confusion: True
Anxiety/fear: True
Potential for failure to thrive: True
Question: Charlie Raymond 65-year-old male who was admitted to a negative pressure
room on Med-Surg for COVID precautions.. He has a history of COPD, hypertension,
diabetes type II, and a recent myocardial infarction. He is a retired postal worker who
lives at home with his wife. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale
insulin. Initially this cardiologist was concerned about congestive heart failure and Mr.
Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema.
Vital Signs: BP is 145/78, Pulse 89 Respirations 24 and slightly labored, Temperature
100.2 SaO2 94% on 2L nasal cannula. The patient/family is fearing the worst due to
COVID-19 Pandemic. - CORRECT ANSWER✔✔Acute discomfort False
Alteration in body image False
Alteration in gas exchange True
Alteration in physical mobility True
