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 injuries can sometimes exist without visible fractures on x-ray studies. It is important to consider the possibility of spinal cord injury even in the absence of objective findings on x-ray. This is because spinal cord injuries can result from trauma that does not necessarily cause bony damage. Therefore, relying solely on x-ray studies to diagnose spinal cord injury may lead to missed or delayed diagnosis. Options A, B, and C are incorrect because central cord syndrome, MRI, and CT-scan are not definitive for ruling out spinal cord injury in the absence of visible fractures.
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 before removing immobilization, it is crucial to confirm the absence of a spinal fracture through x-ray. This ensures that any potential spinal injury is not worsened during movement. A is incorrect because the neurologic exam alone is not sufficient to determine spinal stability. B is incorrect as definitive care may not involve immediate removal of immobilization. C is incorrect as the ability to indicate no neck pain does not rule out a spinal fracture.
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 without neck pain, neurological deficits, or midline tenderness, cervical spine x-rays are not necessary. This is because the clinical assessment is more reliable in ruling out cervical spine injury. Performing unnecessary x-rays exposes the patient to radiation without providing additional benefit. Additionally, immobilization in a hard collar and on a long spine board is already in place, and further imaging does not change the management in this scenario. Therefore, the most appropriate course of action is to rely on the clinical assessment criteria mentioned in choice C to guide management. Choices A, B, and D are incorrect because they do not align with current guidelines for cervical spine imaging in trauma patients.
Question 4 of 5
Neurogenic shock has all of the following classic characteristics except which one:
Correct Answer: C
Rationale: Neurogenic shock is characterized by hypotension and vasodilatation due to loss of sympathetic tone. The narrowed pulse pressure is not a classic characteristic but rather a sign of cardiogenic shock. Neurologic deficit is common in neurogenic shock due to the underlying neurological injury. Therefore, choice C is incorrect as it does not align with the typical features 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 a functional nursing style of care, where tasks are divided among staff members based on their skills, staff members may only focus on their assigned tasks, leading to a potential oversight of changes in a resident's condition. This can result in delayed intervention and negatively impact the resident's health. Choice A is incorrect as it refers to task management, not specifically related to overlooking changes in a resident's condition. Choice B is incorrect because it focuses on training issues, not directly related to monitoring a resident's condition. Choice D is incorrect as it addresses resident preferences and not a negative outcome related to care quality.