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ATI - Practice
ATI Practice Questions Part 1
| Question | Answer |
|---|---|
| This is a common side effect of albuterol if it is used excessively. | tachycardia |
| What is the greatest risk following a thoracentisis? | pneumothorax |
| In a patient post thoracentisis, what might decreased breath sounds indicate? | pneumothorax |
| Why would a blood specimen from a radial artery be aspirated into a heparinized syringe? | Heparinization is required for an accurate sampling result. |
| Why is it necessary to perform the Allen test before drawing a blood sample from a radial artery? | This prevents the use of an artery that has insufficient blood flow, which can damage the hand. |
| Why should patients with COPD receive a high calorie and high protein diet? | Patients with COPD have difficulty obtaining enough calories and protein duet to fatigue and satiety. Therefore the food that is consumed should be high in calories and protein. |
| In the patient with COPD, when should respiratory treatments be scheduled in reference to meals? | before meals |
| What does continuout bubbling in the water seal chamber of a test tube indicate? | A possible air leak which will require further action. |
| In a patient with a chest tube following surgery, drainage greater than what amount would require further action. | 100 mL/hr |
| Why should the nurse have a pair of padded clamps in the room of a patient who has had a chest tube inserted? | In case the chest tube becomes disconnected. |
| Is a cough related to pneumonia usually productive or nonproductive? | productive |
| With pneumonia, a SaO2 level below what is expected? | 95% |
| What would we expect the temperature of a patient with bacterial pneumonia to do? | elevate |
| Will a patient with bacterial pneumonia have tachypnea, or bradypnea? | In an attempt to increase oxygen levels, respirations will increase, therefore tachypnea. |
| If a patient has lung cancer, we may expect to see what in the sputum and why? | Blood because the tumor may be bleed. |
| In a patient with lung cancer what usually happens to the tactile fremitus? | It is usually increased due to tumor spaces being replaced with tumor tissue or fluids. |
| What condition can occure with too much or scheduled suctioning? | Hypoxia |
| If a patient is hypoventilating, will the patient be more likely to develop respiratory acidosis or respiratory alkalosis? | Respiratory acidosis |
| What is the greatest risk for a patient who has just been diagnosed with a pulmonary embolism? | This patient is at greatest risk for respiratory arrest related to extension of the clot. |
| This is a short acting Beta 2 agonist which acts quickly to produce bronchodilation and would be used for a patient with an acute asthma attack. | albuterol (proventil) |
| When a patient has a vent, what alarm will a kink in the tubing cause to go off? | The high pressure alarm. |
| When a patient has a vent, what alarm will a leak in the artificial airway cuff cause to go off? | The low pressure alarm. |
| What alarm will an excess of secretions cause to go off with the vent patient? | The high pressure alarm. |
| What alarm does biting of the tracheal tube cause to go off with the vent patient? | The high pressure alarm. |
| What color will Rifampin (Rifadin) which is given to patients with pulmonary tuberculosis, turn the urine? | orange |
| Should Rifampin (Rifadin) which is used for pulmonary tuberculosis, be taken on an empty stomach or with meals? | It should be taken on an empty stomach. |
| What happens to the PaO2 in acute respiratory failure? | It is decreased. |
| Does acute respiratory failure result in respiratory acidosis or respiratory alkalosis? | Respiratory acidosis |
| What will happen to the carbon dioxide levels in acute respiratory failure? | It will rise. |
| A tension pneumothorax will cause the trachea to deviate to what side? | The unaffected side. |
| An increase of respiratory rate indicates what in the work of breathing? | An increase in the work of breathing and the need for improvement of oxygen delivery. |
| What type of isolation precautions should be implemented for the patient who is admitted with active tuberculosis? | Airborne isolation. Negative pressure room. |
| What kind of precautions should be implemented with the patient with Rubella? | Droplet precautions. |
| This type of isolation protects patients from outside infections, such as patients who are receiving bone marrow transplants. | Neutropenic precautions. |
| What type of precaustions would be implemented for the patient with Scabies> | Contact precautions. |
| What is the greatest risk to the patient following a bronchoscopy? | Aspiration because of a depressed gag reflex. |
| A patient taking the aminoglycoside Gentamicin(Garamycin) which is an antibiotic should be watched for signs of what condition? | Nephrotoxicity |
| Is Catopril used to reduce or increase blood pressure? | reduce blood pressure |
| In patients with renal impairment, what can Sodium Bicarbonate cause? | It can cause system alkalosis. |
| Absorption of sodium can either increase or decrease blood pressure. Which one is it? | Increase blood pressure, but it is contraindicated in patients with renal impairment. |
| What is Eryhropoeitn given to patients with chronic renal failure for? | To treat the associated anemia. |
| Why would a patient with oliguric renal failure be given Dopamine (Intropin)? | To enhance blood flow to the kidneys and to increase the patient's blood pressure. |
| Hemodialysis is contraindicated for patient who are not able to take what kind of medications? | Anticoagulants |
| In acute renal failure what happens to the potassium level? | It is usually elevated. |
| In acute renal failure what happens to the sodium level? | It is usually decreased |
| What happens to the hct in acute renal failure? | It is usually decreased. |
| Why cant a chronic renal failure patient use salt substitute? | Because it contains potassium. |
| Why cant a chronic renal failure patient take milk of magnesia? | Because it is too high in sodium. |
| What might weight gain indicate in a chronic renal failure patient? | It might indicate fluid retention caused by poorly functioning kidneys. |
| In a patient who has just undergone a tranurethral resectioning of the prostate, what causes the strong urge to urinate and what should the nurse do in this situation? | Bladder spasms are causing the urge to urinate, the nurse should administer a belladonna and opium suppository. |
| What is the greatest risk to the patient who has had hemodialysis 1 hour ago? | Hypoventilation |
| Acute pylonephritis is an acute bacterial infection that is treated with | IV antibiotics |
| What is pyuria? | Presence of WBC's in the urine. |
| What type of a diuretic is Spironolactone? | It is a potassium sparing diuretic. |
| What action does polystyrene sulfonate have on the patient with elevated potassium levels? | It is an exchange resin that will absorb excess potassium. |
| What will Oxybutynin (Ditropan)do for the patient with mixed (urge and stress) incontinence? | It will decrease the leaking of urine, relieving symptoms of stress incontinence. |
| What color is the urine of a patient with acute glomerulonephritis? | It is usually dark colored, a reddish brown color. |
| Do patients with nephrotic syndrome experience hypoalbuminuria or hyperalbuminuria? | Hypoalbuminuria |
| Persons with gout need to limit the amount of foods high in what? | Purines |
| In the patient receiving hemodialysis, a rapid increase of fluids can result in cerebral edema and IICP putting the patient at risk for what? | seizures |
| What type of technique is used for changing the dressing on a penrose drain? | sterile technique |
| If a patient has an eviscerated wound, after covering it with a saline soaked dressing, what should be done next? | Vitals should be taken to determine if the patient is in shock. |
| If a patient is on antihypertensive medications like Captopril (Catopen) what kind of a risk might it pose for the patient getting ready to undergo surgery? | It could cause a hypotensive crisis when it is given with anethetic agents. |
| In the postoperative patient, reports of chest pain and SOB may indicate what occurence with the patient? | Pulmonary Embolism |
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atitestingpractice
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