ATI RN ADULT MEDICAL SURGICAL PRACTICE TEST BANK 2019 AND
2023 LATEST TEST BANK 400 PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
In what time frame will brain injury or death occur due to hypoxia if the
patients airway is not patent? - ANSWER-3-5 minutes
What all should a nurse inspect for if a client's ability to maintain an airway
is lost? - ANSWER-for blood, broken teeth, vomitus, or other foreign
materials in the airway that can cause obstruction
What should the nurse do if a client is unresponsive WITHOUT suspicion of
trauma? - ANSWER-The airway should be opened with a head-tilt/chin-
lift maneuver
When should a nurse not perform the head-tilt/chin-lift maneuver? -
ANSWER-If the patient has a potential cervical spine injury
What should the nurse do if the patient is unresponsive WITH suspicion of
trauma? - ANSWER-The airway should be opened with a modified jaw
thrust maneuver
What type of oxygen is indicated for clients who are spontaneously
breathing? - ANSWER-nonbreather mask with 100% oxygen
How does a nurse assess a patient's breathing? - ANSWER-auscultation
of breath sounds, observation of chest expansion and respiratory
effort, notation of rate and depth of respirations, identification of
chest trauma, assessment of tracheal position, assessment of jugular
vein distention
, ATI RN ADULT MEDICAL SURGICAL PRACTICE TEST BANK 2019 AND
2023 LATEST TEST BANK 400 PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
What should the nurse do if the client is not breathing or is breathing
inadequately? - ANSWER-manual ventilation should be performed by a
bag valve mask with supplemental oxygen or mouth-to-mask
ventilation until bag valve mask can be obtained
How does a nurse assess a patient's circulation? - ANSWER-assess HR,
BP, peripheral pulses, and capillary refill for adequate perfusion
What should nurses consider when it comes to ineffective circulation? -
ANSWER-cardiac arrest, myocardial disfunction, and hemorrhage as
precursors to shock
How does a nurse restore effective circulation? - ANSWER-CPR, assess
for external bleeding, hemorrhage control, obtain IV access using
large-bore IV catheters inserted into the antecubital fossa of both
arms, infuse isotonic IV fluids
What can develop if a patients circulation if compromised? - ANSWER-
Shock
What are the nursing interventions to alleviate shock? - ANSWER-
administer oxygen, apply pressure to obvious bleeding, elevate lower
extremities to shunt blood to vital organs, administer IV fluids and
blood products, monitor vs, remain with the client
How does a nurse prevent hypothermia? - ANSWER-remove wet clothing
from patient, cover the patient with warm blankets, increase the
temperature of the room, use a heat lamp to provide additional
warmth, infuse warm IV fluids
, ATI RN ADULT MEDICAL SURGICAL PRACTICE TEST BANK 2019 AND
2023 LATEST TEST BANK 400 PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
What can hypothermia lead to ? - ANSWER-eventual coma, hypoxemia,
and acidosis
What is the sudden cessation of cardiac function caused most commonly
by ventricular fibrillation or ventricular asystole? - ANSWER-cardiac arrest
What is the fluttering of the ventricles causing loss of consciousness,
pulselessness, and no breathing that requires collaborative care to
defibrillate immediately using ACLS protocol? - ANSWER-Ventricular
fibrillation
What is the irritable firing of ectopic ventricular beats at a rate of 140 to 180
beats per min that over time a client will become unconscious and
deteriorate into VF? - ANSWER-Pulseless ventricular tachycardia
What is the complete absence of electrical ectopic ventricular movement of
the heart where the client is in complete cardiac arrest and requires
implementation of BLS and ACLS protocol? - ANSWER-Ventricular
asystole
What is a rhythm that appears to have electrical activity but is not sufficient
to stimulate effective cardiac contractions and requires implementation of
BLS and ACLS protocol? - ANSWER-Pulseless electrical activity (PEA)
What is the response of the receptor site Alpha 1? - ANSWER-activation
of receptors in the arterioles of skin, viscera and mucous membranes,
and veins that lead to vasoconstriction
, ATI RN ADULT MEDICAL SURGICAL PRACTICE TEST BANK 2019 AND
2023 LATEST TEST BANK 400 PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
What is the response of the receptor site Beta 1? - ANSWER-heart
stimulation leads to increased heart rate, increase myocardial
contractility, and increased rate of conduction through the AV node,
and activation of receptors in the kidney leading to the release of
renin
What is the response of the receptor site Beta 2? - ANSWER-
Bronchodilation, relaxation of uterine smooth muscle, breakdown of
glycogen into glucose, muscle contraction
What is the response of the receptor site dopamine? - ANSWER-activation
of receptors in the kidney cause the renal blood vessels to dilate
What are the 5 H's when it comes to common causes of PEA? - ANSWER-
Hypovolemia, hypoxia, hydrogen ion accumulation, resulting in acidosis,
hyperkalemia or hypokalemia, and hypothermia
What are the 5 T's when it comes to common causes of PEA? - ANSWER-
Toxins, Tamponade, Tension pneumothorax, Thrombosis (coronary),
Thrombosis (pulmonary)
What do the drugs MAOIs do in response to epinephrine? - ANSWER-the
release of norepinephrine from sympathetic nerves and thereby prolong
and intensify the effects of epinephrine and can cause hypertensive crisis
What is the nursing interventions for MAOIs? - ANSWER-avoid the use of
MAOIs in clients who are receiving epinephrine
2023 LATEST TEST BANK 400 PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
In what time frame will brain injury or death occur due to hypoxia if the
patients airway is not patent? - ANSWER-3-5 minutes
What all should a nurse inspect for if a client's ability to maintain an airway
is lost? - ANSWER-for blood, broken teeth, vomitus, or other foreign
materials in the airway that can cause obstruction
What should the nurse do if a client is unresponsive WITHOUT suspicion of
trauma? - ANSWER-The airway should be opened with a head-tilt/chin-
lift maneuver
When should a nurse not perform the head-tilt/chin-lift maneuver? -
ANSWER-If the patient has a potential cervical spine injury
What should the nurse do if the patient is unresponsive WITH suspicion of
trauma? - ANSWER-The airway should be opened with a modified jaw
thrust maneuver
What type of oxygen is indicated for clients who are spontaneously
breathing? - ANSWER-nonbreather mask with 100% oxygen
How does a nurse assess a patient's breathing? - ANSWER-auscultation
of breath sounds, observation of chest expansion and respiratory
effort, notation of rate and depth of respirations, identification of
chest trauma, assessment of tracheal position, assessment of jugular
vein distention
, ATI RN ADULT MEDICAL SURGICAL PRACTICE TEST BANK 2019 AND
2023 LATEST TEST BANK 400 PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
What should the nurse do if the client is not breathing or is breathing
inadequately? - ANSWER-manual ventilation should be performed by a
bag valve mask with supplemental oxygen or mouth-to-mask
ventilation until bag valve mask can be obtained
How does a nurse assess a patient's circulation? - ANSWER-assess HR,
BP, peripheral pulses, and capillary refill for adequate perfusion
What should nurses consider when it comes to ineffective circulation? -
ANSWER-cardiac arrest, myocardial disfunction, and hemorrhage as
precursors to shock
How does a nurse restore effective circulation? - ANSWER-CPR, assess
for external bleeding, hemorrhage control, obtain IV access using
large-bore IV catheters inserted into the antecubital fossa of both
arms, infuse isotonic IV fluids
What can develop if a patients circulation if compromised? - ANSWER-
Shock
What are the nursing interventions to alleviate shock? - ANSWER-
administer oxygen, apply pressure to obvious bleeding, elevate lower
extremities to shunt blood to vital organs, administer IV fluids and
blood products, monitor vs, remain with the client
How does a nurse prevent hypothermia? - ANSWER-remove wet clothing
from patient, cover the patient with warm blankets, increase the
temperature of the room, use a heat lamp to provide additional
warmth, infuse warm IV fluids
, ATI RN ADULT MEDICAL SURGICAL PRACTICE TEST BANK 2019 AND
2023 LATEST TEST BANK 400 PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
What can hypothermia lead to ? - ANSWER-eventual coma, hypoxemia,
and acidosis
What is the sudden cessation of cardiac function caused most commonly
by ventricular fibrillation or ventricular asystole? - ANSWER-cardiac arrest
What is the fluttering of the ventricles causing loss of consciousness,
pulselessness, and no breathing that requires collaborative care to
defibrillate immediately using ACLS protocol? - ANSWER-Ventricular
fibrillation
What is the irritable firing of ectopic ventricular beats at a rate of 140 to 180
beats per min that over time a client will become unconscious and
deteriorate into VF? - ANSWER-Pulseless ventricular tachycardia
What is the complete absence of electrical ectopic ventricular movement of
the heart where the client is in complete cardiac arrest and requires
implementation of BLS and ACLS protocol? - ANSWER-Ventricular
asystole
What is a rhythm that appears to have electrical activity but is not sufficient
to stimulate effective cardiac contractions and requires implementation of
BLS and ACLS protocol? - ANSWER-Pulseless electrical activity (PEA)
What is the response of the receptor site Alpha 1? - ANSWER-activation
of receptors in the arterioles of skin, viscera and mucous membranes,
and veins that lead to vasoconstriction
, ATI RN ADULT MEDICAL SURGICAL PRACTICE TEST BANK 2019 AND
2023 LATEST TEST BANK 400 PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
What is the response of the receptor site Beta 1? - ANSWER-heart
stimulation leads to increased heart rate, increase myocardial
contractility, and increased rate of conduction through the AV node,
and activation of receptors in the kidney leading to the release of
renin
What is the response of the receptor site Beta 2? - ANSWER-
Bronchodilation, relaxation of uterine smooth muscle, breakdown of
glycogen into glucose, muscle contraction
What is the response of the receptor site dopamine? - ANSWER-activation
of receptors in the kidney cause the renal blood vessels to dilate
What are the 5 H's when it comes to common causes of PEA? - ANSWER-
Hypovolemia, hypoxia, hydrogen ion accumulation, resulting in acidosis,
hyperkalemia or hypokalemia, and hypothermia
What are the 5 T's when it comes to common causes of PEA? - ANSWER-
Toxins, Tamponade, Tension pneumothorax, Thrombosis (coronary),
Thrombosis (pulmonary)
What do the drugs MAOIs do in response to epinephrine? - ANSWER-the
release of norepinephrine from sympathetic nerves and thereby prolong
and intensify the effects of epinephrine and can cause hypertensive crisis
What is the nursing interventions for MAOIs? - ANSWER-avoid the use of
MAOIs in clients who are receiving epinephrine
