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Exam (elaborations)

ATI Critical Care Exam Questions and Answers

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ATI Critical Care Exam Questions and Answers Before PFT's how long should a patient refrain from smoking? Using an inhaler? - ANSWER-smoking: 6-8 h inhaler: 4-6 h What test must you do before performing an arterial puncture? - ANSWER-Allen's test; patency of the ulnar artery- if blood returns...

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  • October 29, 2024
  • 60
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ATI
  • ATI
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Emillect
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FIRST PUBLISH OCTOBER 2024




ATI Critical Care Exam Questions and

Answers


Before PFT's how long should a patient refrain from smoking? Using an inhaler? - ANSWER✔✔-smoking:

6-8 h


inhaler: 4-6 h


What test must you do before performing an arterial puncture? - ANSWER✔✔-Allen's test; patency of

the ulnar artery- if blood returns to hand in 15s, then the radial artery can be used for the puncture


How long should one apply pressure after an arterial puncture? - ANSWER✔✔-5 minutes (20 min if the

patient is on anticoagulant therapy)


What are the normal ranges for ABG's?


(pH, PAO2, PACO2, HCO3, and SAO2) - ANSWER✔✔-pH: 7.35-7.45


PAO2: 80-100 mm Hg


PACO2: 35-45 mm Hg


HCO3: 21-28 mEq/L

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SAO2: 95-100%


In what position should you place a patient if air embolism is expected? - ANSWER✔✔-left side in

trendelenburg


How long must a patient be NPO before a bronchoscopy? - ANSWER✔✔-4-8 hr


What types of medications might one administer prior to a bronchoscopy? - ANSWER✔✔-anxiolytics


atropine (to treat bradycardia)


viscous lidocaine


local anesthetic throat spray


What should you be monitoring a patient for after a bronchoscopy? - ANSWER✔✔-significant fever (mild

is ok up to 24 hrs after the procedure), productive cough, significant blood in sputum (small amounts are

to be expected), hypoxemia, laryngspasm


Prior to a thoracentesis what diagnostic procedure must be done? - ANSWER✔✔-CXR


What position should the patient be in for a thoracentesis? - ANSWER✔✔-sitting up over the bedside

table


What are possible complications of a thoracentesis? How do we tell patients to identify pneumothorax? -

ANSWER✔✔-mediastinal shifts


Page 2/60

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pneumothorax (deviated trachea, pain at the end of inhalation or exhalation, affected side not moving

with breath, increased HR, shallow respirations, nagging cough, air hunger)


In what chest tube chamber (ONLY) should you see bubbling? - ANSWER✔✔-suction


What is excessive drainage from a chest tube? - ANSWER✔✔-more than 70 ml/hr


How should the nurse document for care following a chest tube? How often? - ANSWER✔✔-color and

amount of drainage qh for 24h after insertion, then q8h


mark date, hour, and drainage level on the container at the end of each shift


What supplies should be kept at the side of a bed for a patient with a chest tube? - ANSWER✔✔-2

enclosed hemostats, sterile water, occlusive dressing


What should the nurse instruct the patient to do during chest tube removal? - ANSWER✔✔-valsalva

maneuver


What should the nurse do in the case that a chest tube is disconnected? - ANSWER✔✔-1. have the client

exhale as much as they can to remove air from the pleural space


2. immerse the end of the chest tube in sterile water to restore the water seal


3. apply dry sterile gauze




Page 3/60

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What is the FiO2 and the flow rate for a nasal cannula? at what rate do we need to administer

humidification? - ANSWER✔✔-24-44%


1-6 L/min


humidification at 4 L/min


What is the FiO2 and the flow rate for a simple face mask? - ANSWER✔✔-40-60%


5-8 L/min (less than this causes the patient to rebreathe CO2)


What is the FiO2 and the flow rate for a partial rebreather mask? - ANSWER✔✔-40-75%


6-11 L/min


What is the FiO2 and the flow rate for a non-rebreather? - ANSWER✔✔-80-95%


10-15 L/min


What is the FiO2 and the flow rate for a venturi mask? - ANSWER✔✔-24-50%


4-10 L/min


What is the FiO2 and the flow rate for a aerosol face mask, face tent, t-piece, and trach collar? -

ANSWER✔✔-24-100%


10 L/min at least


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