ATI RN
Critical Care Nursing Practice Questions Questions
Question 1 of 5
Which action will the nurse need to do when preparing to assist with the insertion of a pulmonary artery catheter?
Correct Answer: D
Rationale: The correct answer is D: Attach cardiac monitoring leads before the procedure. This is essential to monitor the patient's cardiac rhythm and detect any abnormalities during catheter insertion. Cardiac monitoring leads provide real-time information on the patient's heart rate and rhythm, allowing the nurse to promptly address any complications. A: Determining if the cardiac troponin level is elevated is not directly related to assisting with pulmonary artery catheter insertion. B: Auscultating heart and breath sounds during insertion is important but does not take precedence over attaching cardiac monitoring leads. C: Placing the patient on NPO status before the procedure may be necessary for other procedures, but it is not specifically required for assisting with pulmonary artery catheter insertion.
Question 2 of 5
The family of a terminally ill patient is concerned about administering increasing doses of opioids for pain management. What is the nurse�s best response?
Correct Answer: B
Rationale: The correct answer is B because opioids are essential for effective pain management in terminally ill patients, improving their quality of life. Alternative methods may not provide sufficient pain relief. Choice A is incorrect as opioids do not necessarily hasten death when used appropriately for pain control. Choice C is incorrect because reducing opioid dose may lead to inadequate pain management. Choice D is incorrect as consulting a pain specialist to reduce medication may not be appropriate for terminally ill patients needing effective pain relief.
Question 3 of 5
Which statement is true regarding oral care for the prevention of ventilator-associated pneumonia (VAP)? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B. Implementing a comprehensive oral care program is an intervention for preventing VAP. This statement is true because proper oral care, including brushing teeth, oral suctioning, and using chlorhexidine gluconate, has been shown to reduce the risk of VAP by decreasing the colonization of pathogenic bacteria in the oral cavity. Regular oral care helps maintain oral hygiene and reduce the risk of aspiration of bacteria into the lungs, which is a common cause of VAP. Incorrect Answer Analysis: A: Tooth brushing every 2 hours may be excessive and could potentially cause harm to the oral mucosa, leading to increased risk of infection. C: While oral suctioning and brushing teeth are important components of oral care, the statement is not comprehensive enough to address the full range of interventions needed to prevent VAP. D: While chlorhexidine gluconate can be effective in preventing VAP, the statement implies that it is the only effective intervention, which is not true.
Question 4 of 5
The family is considering withdrawing life-sustaining measures from the patient. The nurse knows that ethical principles for withholding or withdrawi ng life-sustaining treatments include which of the following?
Correct Answer: A
Rationale: The correct answer is A because it aligns with the ethical principle of patient autonomy, which emphasizes the patient's right to make decisions about their own care. Withholding or withdrawing life-sustaining treatments, including nutrition, antibiotics, and blood products, respects the patient's autonomy. This choice also reflects the principle of beneficence, as it aims to prevent unnecessary suffering and respects the patient's wishes. Option B is incorrect because it focuses on pain and anxiety management rather than the broader ethical considerations of withholding life-sustaining treatments. Option C is incorrect because withdrawing life-sustaining treatments while a patient is receiving paralytic agents can pose additional risks and complications, potentially conflicting with the principles of nonmaleficence and beneficence. Option D is incorrect because the primary goal of withdrawing or withholding treatments is not to hasten death but to respect the patient's autonomy and quality of life. This choice does not align with the ethical principles of patient-centered care.
Question 5 of 5
Which of the following is a National Patient Safety Goal? a(bSirebl.ceocmt /taelslt that apply.)
Correct Answer: A
Rationale: Rationale: Accurately identifying patients is a National Patient Safety Goal to prevent errors in patient care. Proper patient identification ensures correct treatments and medications are given, reducing harm. Restraint elimination, medication reconciliation, and infection reduction are important goals but not specific National Patient Safety Goals. Accurate patient identification directly addresses patient safety concerns.
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