ATI RN Comprehensive Final Exam 2022 Corrected Version
Question 1
1.5 out of 1.5 points
Which client would the Registered Nurse know is at greatest risk for the development of pulmonary
embolism?
Answer
Selected
A
...
ATI RN Comprehensive Final Exam 2022 Corrected Version
Question 1
1.5 out of 1.5 points
Which client would the Registered Nurse know is at greatest risk for the development of pulmonary
embolism?
Answer
Selected
Answer:
a.
40 year old woman who has used oral contraceptives for the past 15 years and had
abdominal surgery yesterday for cancer
Correct
Answer:
a.
40 year old woman who has used oral contraceptives for the past 15 years and had
abdominal surgery yesterday for cancer
Response
Feedback:
Patients at highest risk for PE are those who have multiple risk factors for DVT: ie
venous stasis, altered coagulation, and vessel wall damage. The 40 year old woman
best fits these conditions.
Question 2
1.5 out of 1.5 points
Which set of arterial blood gases would the nurse expect to find in a client who developed a pulmonary
embolism several hours ago?
Answer
Selected Answer: a.
pH 7.30, HCO3 22 mEq/L, PaCO2 60mm Hg, PaO2 66mm Hg
Correct Answer: a.
pH 7.30, HCO3 22 mEq/L, PaCO2 60mm Hg, PaO2 66mm Hg
Response
Feedback:
The patient who has just developed a PE would probably be in respiratory alkalosis
initially due to attempts to improve oxygenation and blow off CO2 by increasing
respirations. The key words in this question are "several hours ago," with the patient
being in respiratory acidosis by that time, due to deterioration of their respiratory status
overall.
Question 3
0 out of 1.5 points
The client with a massive pulmonary embolism is receiving the fibrinolytic alteplase (Activase.) What
is the priority nursing diagnosis or collaborative problem for this client?
Answer
Selected Answer: c.
Potential for anaphylaxis
Correct Answer: d.
Risk for injury (bleeding)
Response
Feedback:
Patients undergoing any thrombolytic therapy are at risk for bleeding. Only the
thrombolytic streptokinase puts the patient also at risk for anaphylaxis
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