Practice Question
A nurse is caring for a 73-year-old client in the emergency department (ED)
Answer Choices:
Rationale:
- Administering broad-spectrum antibiotics within the first hour is a life-saving priority in sepsis management, as delayed antimicrobial therapy is associated with increased mortality.
- Measuring lactate provides an essential marker of tissue hypoxia and guides the resuscitation process. Elevated levels indicate impaired perfusion.
- Rapid administration of 30 mL/kg of isotonic crystalloid (such as 0.9% sodium chloride) is the recommended initial fluid resuscitation step for hypotension or lactate ≥4 mmol/L.
- Obtaining blood cultures prior to starting antibiotics ensures that the causative organism can be accurately identified and treated appropriately.
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This question is from RN ATI Advanced MedSurg Exam 3 which contains 58 questions.
More Questions from This Exam
A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?
Answer Choices:
A. Atorvastatin
B. Metformin
C. Carvedilol
D. Nitroglycerin
A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?
Answer Choices:
A. First-degree AV block
B. Sinus tachycardia
C. Atrial fibrillation
D. Sinus bradycardia
Norepinephrine has been prescribed for a patient who was admitted with dehydration and hypotension. Which data indicate that the nurse should consult with the health care provider before starting the norepinephrine?
Answer Choices:
A. The patient's central venous pressure is 3 mm Hgw
B. The patient is receiving low dose dopamine.
C. The patient is in sinus tachycardia at 120 beats/min.
D. The patient has had no urine output since admission.
Mr Jones came to the ER complaining of chest palpitations. He states his heart feels like it is "racing". The nurse found the following rhythm on the monitor. What is the next step would the nurse expect to take first?
Answer Choices:
A. Defibrillate
B. Ask him to blow into a syringe
C. Draw troponins
D. Give amiodarone
A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Which of the following assessments is an indication that the client might be experiencing circulatory overload?
Answer Choices:
A. Flushing
B. Vomiting
C. Dyspnea
D. Bradycardia
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 1
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