ATI RN CONCEPT BASED ASSESSMENT EXAM VERIFIED
ANSWERS.
A patient with cardiogenic shock has the following vital signs: BP
102/50, pulse 128, respirations 28. The pulmonary artery wedge pressure
(PAWP) is increased and cardiac output is low. The nurse will anticipate an
order for which medication? - CORRECT ANSWER>>
✔️ Furosemide IV
The emergency department (ED) nurse receives report that a patient
involved in a motor vehicle crash is being transported to the facility with an
estimated arrival in 1 minute. In preparation for the patient's arrival, the
nurse will obtain: - CORRECT ANSWER>> ✔️ Two 14 gauge IV catheters
Which finding is the best indicator that the fluid resuscitation for a patient
with hypovolemic shock has been effective? - CORRECT ANSWER>>
✔️ Urine output is 60ml over the last hour
Which intervention will the nurse include in the plan of care for a patient
who has cardiogenic shock? - CORRECT ANSWER>> ✔️ Monitor breath
sounds frequently
Norepinephrine (Levophed) has been prescribed for a patient who was
admitted with dehydration and hypotension. Which patient data indicate
that the nurse should consult with the health care provider before starting
the norepinephrine? - CORRECT ANSWER>> ✔️ The patient's central
venous pressure is 3 mm Hg.
,A nurse is assessing a patient who is receiving a nitroprusside (Nipride)
infusion to treat cardiogenic shock. Which finding indicates that the
medication is effective? - CORRECT ANSWER>> ✔️ Warm, pink, and dry
skin
Which assessment information is most important for the nurse to obtain
to evaluate whether treatment of a patient with anaphylactic shock has
been effective? - CORRECT ANSWER>> ✔️ Oxygen saturation Which
data collected by the nurse caring for a patient who has cardiogenic
shock indicate that the patient may be developing multiple
organ dysfunction syndrome (MODS)? - CORRECT ANSWER>> ✔️ The
patient's serum creatinine level is elevated.
A patient with septic shock has a BP of 70/46 mm Hg, pulse 136,
respirations 32, temperature 104° F, and blood glucose 246 mg/dL. Which
intervention ordered by the health care provider should the nurse
implement first? - CORRECT ANSWER>> ✔️ Give normal saline IV at 500
mL/hr.
When the nurse educator is evaluating the skills of a new
registered nurse (RN) caring for patients experiencing shock, which
action by the new RN indicates a need for more education?
- CORRECT ANSWER>> ✔️ Maintaining the room temperature at 66° to 68° F for a
patient with neurogenic shock
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? - CORRECT ANSWER>> ✔️ Skin cool and clammy A
, patient is admitted to the emergency department (ED) for shock of
unknown etiology. The first action by the nurse should be to: -
CORRECT ANSWER>> ✔️ Administer oxygen
During change-of-shift report, the nurse is told that a patient has
been admitted with dehydration and hypotension after having
vomiting and diarrhea for 4 days. Which finding is most important for
the nurse to report to the health care provider? - CORRECT
ANSWER>> ✔️
New onset of confusion
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 by the health care provider should the
nurse implement first? - CORRECT ANSWER>>
✔️ Provide oxygen at 100% per non rebreather mask 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? -
CORRECT ANSWER>> ✔️ Give epinephrine
Which finding about a patient who is receiving vasopressin
(Pitressin) to treat septic shock is most important for the nurse to communicate
to the health care provider? - CORRECT ANSWER>> ✔️ The patient is
complaining of chest pain
After change-of-shift report in the progressive care unit, who should
the nurse care for first? - CORRECT ANSWER>> ✔️ Patient with
ANSWERS.
A patient with cardiogenic shock has the following vital signs: BP
102/50, pulse 128, respirations 28. The pulmonary artery wedge pressure
(PAWP) is increased and cardiac output is low. The nurse will anticipate an
order for which medication? - CORRECT ANSWER>>
✔️ Furosemide IV
The emergency department (ED) nurse receives report that a patient
involved in a motor vehicle crash is being transported to the facility with an
estimated arrival in 1 minute. In preparation for the patient's arrival, the
nurse will obtain: - CORRECT ANSWER>> ✔️ Two 14 gauge IV catheters
Which finding is the best indicator that the fluid resuscitation for a patient
with hypovolemic shock has been effective? - CORRECT ANSWER>>
✔️ Urine output is 60ml over the last hour
Which intervention will the nurse include in the plan of care for a patient
who has cardiogenic shock? - CORRECT ANSWER>> ✔️ Monitor breath
sounds frequently
Norepinephrine (Levophed) has been prescribed for a patient who was
admitted with dehydration and hypotension. Which patient data indicate
that the nurse should consult with the health care provider before starting
the norepinephrine? - CORRECT ANSWER>> ✔️ The patient's central
venous pressure is 3 mm Hg.
,A nurse is assessing a patient who is receiving a nitroprusside (Nipride)
infusion to treat cardiogenic shock. Which finding indicates that the
medication is effective? - CORRECT ANSWER>> ✔️ Warm, pink, and dry
skin
Which assessment information is most important for the nurse to obtain
to evaluate whether treatment of a patient with anaphylactic shock has
been effective? - CORRECT ANSWER>> ✔️ Oxygen saturation Which
data collected by the nurse caring for a patient who has cardiogenic
shock indicate that the patient may be developing multiple
organ dysfunction syndrome (MODS)? - CORRECT ANSWER>> ✔️ The
patient's serum creatinine level is elevated.
A patient with septic shock has a BP of 70/46 mm Hg, pulse 136,
respirations 32, temperature 104° F, and blood glucose 246 mg/dL. Which
intervention ordered by the health care provider should the nurse
implement first? - CORRECT ANSWER>> ✔️ Give normal saline IV at 500
mL/hr.
When the nurse educator is evaluating the skills of a new
registered nurse (RN) caring for patients experiencing shock, which
action by the new RN indicates a need for more education?
- CORRECT ANSWER>> ✔️ Maintaining the room temperature at 66° to 68° F for a
patient with neurogenic shock
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? - CORRECT ANSWER>> ✔️ Skin cool and clammy A
, patient is admitted to the emergency department (ED) for shock of
unknown etiology. The first action by the nurse should be to: -
CORRECT ANSWER>> ✔️ Administer oxygen
During change-of-shift report, the nurse is told that a patient has
been admitted with dehydration and hypotension after having
vomiting and diarrhea for 4 days. Which finding is most important for
the nurse to report to the health care provider? - CORRECT
ANSWER>> ✔️
New onset of confusion
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 by the health care provider should the
nurse implement first? - CORRECT ANSWER>>
✔️ Provide oxygen at 100% per non rebreather mask 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? -
CORRECT ANSWER>> ✔️ Give epinephrine
Which finding about a patient who is receiving vasopressin
(Pitressin) to treat septic shock is most important for the nurse to communicate
to the health care provider? - CORRECT ANSWER>> ✔️ The patient is
complaining of chest pain
After change-of-shift report in the progressive care unit, who should
the nurse care for first? - CORRECT ANSWER>> ✔️ Patient with
