ATI RN
Basic Care of a Paraplegic Patient Questions
Question 1 of 5
A 30 year old male is stabbed in the right chest. On arrival in the ED, he is very short of breath. His HR is 120 bpm, BP is 80/50. His neck veins are flat. On auscultation of the chest, there is diminished air entry on the right side, and there is dullness posteriorly on percussion. These findings are most consistent with:
Correct Answer: A
Rationale: The correct answer is A: Hemothorax. The clinical presentation of a 30-year-old male with shortness of breath, tachycardia, hypotension, diminished air entry, and dullness on percussion following a stab wound to the chest is most indicative of hemothorax. Hemothorax is the accumulation of blood in the pleural space, leading to respiratory compromise and hemodynamic instability. The diminished air entry and dullness on percussion suggest the presence of blood in the pleural cavity, causing lung collapse. The absence of distended neck veins rules out pericardial tamponade. The absence of tracheal deviation and mediastinal shift rules out tension pneumothorax. Hypovolemia from a liver injury would not explain the localized findings in the chest. Therefore, hemothorax is the most likely diagnosis in this scenario.
Question 2 of 5
Which of the following statements is true of criminal laws?
Correct Answer: A
Rationale: Step 1: Criminal laws aim to protect society from harmful people or organizations by establishing standards of behavior and consequences for illegal actions. Step 2: These laws are designed to maintain order, safety, and justice in society. Step 3: Option A directly aligns with the fundamental purpose and function of criminal laws. Summary: The other choices are incorrect because criminal laws are not primarily about resolving disputes between individuals (B), encompass all crimes beyond felonies (C), or dictate proper behavior and courtesy in a specific setting (D).
Question 3 of 5
If a resident is difficult to understand, a nursing assistant should
Correct Answer: B
Rationale: The correct answer is B because restating what the resident is saying helps clarify understanding. By repeating in their own words, the nursing assistant can ensure comprehension and address any misunderstandings. Choice A is incorrect as pretending may lead to miscommunication. Choice C is incorrect as avoiding communication hinders care. Choice D is incorrect as cliches may not effectively convey information.
Question 4 of 5
3 Which of the following is the best example of using proper telephone etiquette at work?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates professionalism by providing a proper greeting, identifying the workplace, and stating the name of the person answering the call. This shows respect and sets a positive tone for the conversation. Choice A lacks proper etiquette by sharing confidential information. Choice C is rude and dismissive. Choice D is unprofessional and discloses sensitive information. Overall, choice B is the best example of using proper telephone etiquette at work.
Question 5 of 5
Jenna knows that Mr. Warren, one of her residents, is very excited about an upcoming visit from his daughter. She takes a little extra time to help him get ready and tells him how good he looks. Which kind of need is Jenna helping her resident to meet?
Correct Answer: C
Rationale: Correct Answer: C - Need for self-esteem Rationale: 1. Jenna's actions of helping Mr. Warren get ready and complimenting his appearance boost his self-esteem. 2. Self-esteem refers to feeling valued and confident, which can be achieved through positive interactions and validation. 3. This helps meet Mr. Warren's psychological need for self-worth and validation from others. Summary: A: Physical need - Jenna's actions do not directly address Mr. Warren's physical needs such as food or shelter. B: Safety and security need - Mr. Warren's safety is not at risk, so this need is not being addressed. D: Need for self-actualization - Jenna's actions focus more on emotional support rather than self-fulfillment and personal growth.