ATI RN
Practice Questions for Patient-Centered Care Questions
Question 1 of 5
A healthy 42-year-old man has an increase in heart rate from 60 bpm to 120 bpm during induction of anesthesia. Which of the following factors is MOST likely to satisfy the increased metabolic demand of the myocardium?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse is making a preoperative education appointment with a patient. The patient asks if a family member should come to the appointment. Which is the best response by the nurse?
Correct Answer: C
Rationale: The best response is C: "We recommend including family members at this appointment." This answer is correct because involving family members can provide emotional support, facilitate better understanding of preoperative instructions, and enhance communication among healthcare team, patient, and family. Choice A is incorrect as family support can be beneficial. Choice B is less ideal as it suggests family members just wait instead of actively participating. Choice D is incorrect as it is not a requirement to have a family member present.
Question 3 of 5
An adult trauma patient suffered a fall from greater than 15 feet. When predicting the injuries associated with this type of injury, the paramedic should evaluate the distance fallen, the position of the body on impact, and which of the following?
Correct Answer: A
Rationale: The correct answer is A: The type of landing surface involved. When predicting injuries from a fall, the landing surface is crucial as it determines the amount of force transmitted to the body upon impact. A harder surface can result in more severe injuries. Evaluating the type of landing surface helps in assessing the mechanism of injury and potential injuries sustained. Explanation: - A: The type of landing surface directly affects the force of impact and the resulting injuries. - B: Ambient temperature is not relevant to predicting injuries from a fall. - C: Although important, the patient's neurological status is not directly related to the mechanism of injury in this scenario. - D: While the body parts struck with the most force can indicate potential injuries, it is not as crucial as evaluating the landing surface.
Question 4 of 5
You are responding to a possible assault call. You choose to park down the block from the house, as police have not yet made the scene safe. However, you see what looks to be a patient in distress in the upper story window. What would be the safest approach in this situation?
Correct Answer: A
Rationale: The correct approach is to wait for responding police to control the situation and confirm it is safe for EMS. This is the safest option because entering a potentially unsafe scene without police clearance could put the EMS provider at risk. The safety of the EMS provider is paramount, and responding to a scene without police presence could escalate the situation and endanger both the provider and the patient. Waiting for police to secure the scene ensures a safe environment for providing medical care. Summary of incorrect choices: B: Waiting for police to arrive and then entering with them does not guarantee scene safety. C: Driving up to the driveway exposes the EMS provider to potential danger without police clearance. D: Heading into the house without police presence is extremely risky and violates protocol for safety and scene control.
Question 5 of 5
If an adult patient is experiencing the signs and symptoms of a myocardial infarction with perfusing arrhythmias, which of the following pre-hospital interventions will help to reduce the patient's cardiac preload and afterload?
Correct Answer: A
Rationale: The correct answer is A: The intravenous administration of 2-4 mg of morphine per a medical-control physician's order. Morphine helps reduce cardiac preload and afterload by dilating blood vessels and reducing the workload on the heart. This leads to decreased oxygen demand and improved perfusion to the heart muscle. Choice B is incorrect because controlling specific dysrhythmias does not directly reduce cardiac preload and afterload. Choice C, sublingual nitroglycerin, primarily works by dilating coronary arteries and reducing cardiac afterload, but it may not directly reduce preload. Choice D, high-flow oxygen therapy, may be beneficial for oxygenation but does not directly address preload and afterload reduction.