Critical Care Nursing Cardiac Questions

Questions 80

ATI RN

ATI RN Test Bank

Critical Care Nursing Cardiac Questions Questions

Question 1 of 5

The nurse wishes to enhance sleep cycles in her critically ill patient. Research has shown that which nursing action improves sleep in critically ill patients?

Correct Answer: D

Rationale: The correct answer is D: Adequate pain control. Pain can significantly disrupt sleep in critically ill patients. By ensuring adequate pain control, the nurse can help improve the patient's ability to rest and sleep. This intervention targets a key factor affecting sleep cycles in critically ill patients. Repositioning every 2 hours (A) may help prevent pressure ulcers but does not directly address sleep improvement. Hypnotic medications (B) may have adverse effects and are not recommended as a first-line intervention. Five-minute back effleurage (C) may provide temporary relaxation but is not as effective as adequate pain control in improving sleep quality.

Question 2 of 5

Conditions that produce acute kidney injury by directly acting on functioning kidney tissue are classified as intrarenal. The most common intrarenal condition is

Correct Answer: C

Rationale: Rationale: 1. Acute tubular necrosis (ATN) is the most common intrarenal condition as it directly affects kidney tubules. 2. ATN is characterized by damage to renal tubular cells due to various factors like toxins or ischemia. 3. Prolonged ischemia (choice A) can lead to ATN but is not the most common intrarenal condition. 4. Exposure to nephrotoxic substances (choice B) can cause ATN, but ATN itself is more common. 5. Hypotension for several hours (choice D) can result in ischemia and subsequent ATN, but ATN is still the primary intrarenal condition.

Question 3 of 5

Following surgery for an abdominal aortic aneurysm, the patient�s central venous pressure (CVP) monitor indicates low pressures. Which action is a priority for the nurse to take?

Correct Answer: B

Rationale: The correct answer is B: Increase the IV fluid infusion per protocol. Low CVP post-abdominal aortic aneurysm surgery could indicate hypovolemia, which requires fluid resuscitation. Increasing IV fluid infusion helps restore intravascular volume, improve tissue perfusion, and prevent hypotension. Administering diuretics (A) would worsen hypovolemia. Documenting (C) is important but not the priority when the patient needs immediate intervention. Elevating the head of the bed (D) may help with venous return but is not the priority over addressing hypovolemia.

Question 4 of 5

A hospice patient develops a pressure ulcer despite proper repositioning. What should the nurse include in the care plan?

Correct Answer: A

Rationale: The correct answer is A because implementing more aggressive wound care strategies is essential for managing pressure ulcers effectively. This includes proper wound cleaning, debridement, and dressing changes to promote healing. Adequate hydration and nutrition (choice B) are important but may not directly address the pressure ulcer. Discussing prognosis and expected outcomes (choice C) is important but may not directly impact wound healing. Encouraging increased physical activity (choice D) may be contraindicated due to the patient's condition.

Question 5 of 5

Which of the following is (are) official journal(s) of the A merican Association of Critical-Care Nurses? (Select all that apply.)

Correct Answer: A

Rationale: Step-by-step rationale: 1. The American Association of Critical-Care Nurses (AACN) publishes the American Journal of Critical Care (AJCC). 2. The AJCC is a peer-reviewed journal that covers critical care nursing practice, research, and education. 3. The content in AJCC aligns with AACN's mission and standards for critical care nursing. 4. Hence, AJCC is an official journal of AACN. Summary of other choices: - B: Critical Care Clinics of North America - Not an official journal of AACN. - C: Critical Care Nurse - Not an official journal of AACN. - D: Critical Care Nursing Quarterly - Not an official journal of AACN.

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