ATI RN
Basic Care of a Paraplegic Patient Questions
Question 1 of 5
A cross-table lateral x-ray of the cervical spine:
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct: 1. A cross-table lateral x-ray of the cervical spine is crucial for evaluating cervical spine injuries. 2. It allows visualization of all 7 cervical vertebrae and the C-7 to T-1 relationship. 3. This comprehensive view helps in identifying any fractures or dislocations accurately. 4. Missing any part of the cervical spine can lead to overlooking potential injuries. 5. Therefore, ensuring visualization of all 7 vertebrae and the C-7 to T-1 relationship is essential for an accurate assessment. Summary of why other choices are incorrect: - Choice A is incorrect because obtaining the x-ray does not necessarily have to precede endotracheal intubation. - Choice B is incorrect because a cross-table lateral x-ray does not always exclude serious cervical spine injuries; it helps in identifying them. - Choice D is incorrect because even unconscious patients with penetrating cervical injuries may require a cross-table lateral x-ray for accurate
Question 2 of 5
Which one of the following is not a feature of neurogenic shock?
Correct Answer: C
Rationale: The correct answer is C: Increased cardiac output. Neurogenic shock is characterized by decreased cardiac output due to loss of sympathetic tone. Increased venous capacitance (A) and decreased systemic vascular resistance (B) are features of neurogenic shock due to vasodilation. Warm skin (D) is due to peripheral vasodilation. Therefore, increased cardiac output (C) is not a feature of neurogenic shock.
Question 3 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 4 of 5
_____ is a medical assistance program for people who have a low income or certain disabilities.
Correct Answer: B
Rationale: The correct answer is B: Medicaid. Medicaid is a government program that provides medical assistance to individuals with low income or certain disabilities. It is jointly funded by the federal government and states, aiming to help those in need access essential healthcare services. Rationale: 1. Medicaid specifically targets individuals with low income or disabilities, aligning with the description in the question. 2. Medicare, choice A, is a federal health insurance program for individuals aged 65 and older, not solely for low-income or disabled individuals. 3. Choices C and D, Department of the Treasury and Committee on the Budget, are not medical assistance programs and are unrelated to providing healthcare services to those in need.
Question 5 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).