ATI RN
The Basics of Bioethics Ethical Issues in Cancer Patient Care Questions
Question 1 of 5
8-year-old child with no spinal fractures, legs feel funny, spinal cord injury diagnosis?
Correct Answer: D
Rationale: The correct answer is D because spinal cord injury can exist without visible fractures on x-rays. Objective findings may not be present initially, making it imperative to consider further evaluation beyond imaging studies. Central cord syndrome (choice A) typically presents with specific symptoms such as motor weakness in the upper extremities, which may not align with the given scenario. While MRI (choice B) is valuable for detailed soft tissue evaluation, it may not always be necessary for diagnosis. CT scan (choice C) is useful for visualizing bony structures but may not capture subtle spinal cord injuries. Thus, choice D is the most appropriate as it emphasizes the importance of clinical assessment and the possibility of spinal cord injury without immediate radiographic evidence.
Question 2 of 5
During primary and secondary survey, the patient injured by blunt trauma should be completely immobilized until:
Correct Answer: D
Rationale: The correct answer is D because immobilization is crucial until a spinal fracture is ruled out by X-ray to prevent exacerbating a potential injury. A) Completing the neurologic exam is important but not sufficient to ensure spinal stability. B) Transfer to definitive care is essential but does not guarantee spinal fracture exclusion. C) Patient's ability to indicate no neck pain does not confirm absence of spinal injury.
Question 3 of 5
A 14 year old female is brought to the ED after falling from a horse. She is immobilized on a long spine board with a hard collar and blocks. Cervical spine x-ray:
Correct Answer: C
Rationale: The correct answer is C. In a stable patient with no concerning symptoms after a traumatic event, cervical spine x-rays are not needed. This is because the decision to obtain imaging should be guided by clinical indications, such as presence of neck pain, neurological deficits, altered mental status, or midline tenderness. In this case, the patient is awake, alert, neurologically normal, and has no neck pain or midline tenderness, making imaging unnecessary. It is important to rely on clinical assessment rather than routine imaging to avoid unnecessary radiation exposure and healthcare costs. Other choices are incorrect because cervical spine x-rays are not always needed, they are not definitive in ruling out injuries, and addressing breathing or circulatory issues takes precedence over imaging in an unstable patient.
Question 4 of 5
Neurogenic shock has all of the following classic characteristics except which one:
Correct Answer: C
Rationale: Neurogenic shock results from disruption of sympathetic nervous system control, leading to vasodilation and subsequent hypotension. Choice C, "Narrowed pulse pressure," is incorrect because neurogenic shock typically presents with widened pulse pressure due to the loss of sympathetic tone on arterial vessels. Therefore, the correct answer is C. Choices A, B, and D are all classic characteristics of neurogenic shock.
Question 5 of 5
What is one possible negative result of the functional nursing style of care?
Correct Answer: C
Rationale: The correct answer is C because in functional nursing, tasks are divided among staff, leading to fragmented care. This can result in staff overlooking changes in a resident's condition as they focus solely on their assigned tasks. This may delay timely intervention and negatively impact resident outcomes. Choice A is incorrect because task overload is more related to the efficiency of task allocation rather than the style of care. Choice B is incorrect as inadequate training is a separate issue not exclusive to functional nursing. Choice D is incorrect as consistency in care team members is generally seen as a positive aspect of care continuity, not a negative result.