ATI RN
Critical Care Nursing Questions and Answers PDF Questions
Question 1 of 5
The critical care environment is stressful to the patient. Which interventions assist in reducing this stress? (Select all that apply.)
Correct Answer: A
Rationale: Correct Answer: A. Adjust lighting to promote normal sleep-wake cycles. Rationale: 1. Adjusting lighting can help regulate the patient's circadian rhythm, promoting better sleep and reducing stress. 2. Normal sleep-wake cycles are crucial for overall well-being and healing in a critical care setting. 3. Proper lighting can also create a more calming environment for the patient. Summary of Incorrect Choices: B. Providing clocks, calendars, and personal photos can be overwhelming for a stressed patient. C. Talking about other patients may increase anxiety and breach patient confidentiality. D. Telling the day and time of routine interventions may disrupt the patient's sense of time and add to stress.
Question 2 of 5
The patient is in the critical care unit and will receive dialysis this morning. The nurse will (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A because evaluating morning lab results is crucial to monitor the patient's condition before dialysis. Abnormal results may impact the dialysis treatment plan. Option B is incorrect as administering antihypertensive medications is not directly related to dialysis. Option C is incorrect as assessing the dialysis access site is the responsibility of the dialysis team. Option D is incorrect as weighing the patient is not typically done immediately before dialysis.
Question 3 of 5
What is the focus of the synergy model of practice?
Correct Answer: C
Rationale: The correct answer is C because the synergy model of practice emphasizes considering the needs of patients and their families, which in turn drives nursing competency. This approach recognizes that patient care is not just about the individual but also about the broader support system. This holistic viewpoint helps nurses tailor their care to meet the unique needs of each patient and their family, ultimately leading to better outcomes. Choices A, B, and D are incorrect: A: Allowing unrestricted visiting for the patient 24 hours is not directly related to the focus of the synergy model which is more about patient-centered care. B: Providing holistic and alternative therapies is a valid approach, but it is not the primary focus of the synergy model. D: Addressing the patients' needs for energy and support is important but does not capture the comprehensive nature of the synergy model which encompasses the needs of both patients and their families.
Question 4 of 5
Palliation care includes what goals? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A (Pain relief) because palliative care aims to provide comfort and improve the quality of life for individuals with serious illnesses. Pain relief is a crucial goal in palliative care to alleviate physical suffering. Nausea relief (B) is also commonly addressed in palliative care, but it is not a universal goal. Psychological support (C) is an important aspect of palliative care but is not always a primary goal. Withdrawal of life-support interventions (D) is not a goal of palliative care, as palliative care focuses on symptom management and improving quality of life, not hastening death.
Question 5 of 5
A patient is having difficulty weaning from mechanical ve ntilation. The nurse assesses the patient and notes what potential cause of this difficult weaning?
Correct Answer: B
Rationale: The correct answer is B: Hemoglobin of 8 g/dL. Low hemoglobin levels can lead to inadequate oxygen delivery to tissues, causing respiratory distress and difficulty weaning from mechanical ventilation. This is due to reduced oxygen-carrying capacity leading to increased work of breathing. A: Cardiac output of 6 L/min is within normal range and not directly related to difficulty weaning from mechanical ventilation. C: Negative sputum culture and sensitivity indicate absence of respiratory infection but not a direct cause of difficulty weaning. D: White blood cell count of 8000 is within normal range and not a direct cause of difficulty weaning.
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