ATI RN
Fundamentals Patient Safety and Wound Care Practice Questions Questions
Question 1 of 5
A period of mourning in which the dying person or the family is expecting death is called
Correct Answer: C
Rationale: The correct answer is C: Anticipatory grief. This term refers to the period of mourning before death where individuals anticipate the loss. It allows for preparation, emotional processing, and closure. Reactive grief (A) occurs in response to the death, Emotional grief (B) is a general term for the emotional response to loss, and Actualized grief (D) does not accurately describe the pre-death mourning period. Therefore, C is the correct choice as it specifically addresses the period of mourning before death.
Question 2 of 5
Your cardiac patient has an unstable angina history and is suspected of experiencing an ischemic event. He presents with chest pain, cool and clammy skin, and diaphoresis. If the event is being caused by unstable angina pectoris, which medication may be used to prevent an increase in the size of a thrombus if one is present?
Correct Answer: C
Rationale: The correct answer is C: Aspirin. Aspirin is used in the management of unstable angina to prevent platelet aggregation, which can lead to the formation of a thrombus. By inhibiting platelet aggregation, aspirin helps prevent the thrombus from increasing in size. Nitroglycerin (A) is used for symptomatic relief of angina but does not prevent thrombus formation. Morphine (B) is used for pain relief but does not address thrombus prevention. Streptokinase (D) is a thrombolytic agent used to dissolve existing thrombi, not prevent their growth.
Question 3 of 5
Your pediatric patient has been ill for several days leading you to suspect he may be dehydrated. Once on the electrocardiogram, it is evident the patient has an accelerated heart rate and abnormally flattened T waves. What is the most likely cause of this finding?
Correct Answer: D
Rationale: The correct answer is D: Hypokalemia. Hypokalemia, or low potassium levels, can lead to an accelerated heart rate and flattened T waves on an ECG. Potassium plays a crucial role in maintaining the electrical activity of the heart. Low potassium levels can disrupt the balance of ions in cardiac cells, leading to abnormal heart rhythms and ECG changes. Hyperglycemia (choice A) and hypoglycemia (choice C) typically do not cause ECG changes like flattened T waves. Hyperkalemia (choice B) would lead to peaked T waves rather than flattened T waves on an ECG.
Question 4 of 5
You are preparing to intubate an unconscious closed head injury patient with an increased intracranial pressure due to respiratory insufficiency and inability to control his airway. Concern at an additional increase in intracranial pressure prompts you to consider the intravenous administration of which of the following prior to an intubation attempt?
Correct Answer: C
Rationale: The correct answer is C: Lidocaine. Lidocaine is administered prior to intubation in closed head injury patients with increased intracranial pressure to prevent further increase in ICP caused by laryngoscopy and intubation-induced sympathetic response. Lidocaine inhibits the intracranial hypertension response by blocking the sympathetic surge associated with laryngoscopy. Diazepam and Lorazepam are sedatives and do not directly address the concern of increased ICP. Procainamide is an antiarrhythmic drug and not indicated in this scenario.
Question 5 of 5
In a trauma situation, it is acceptable to administer either normal saline or lactated Ringer's to your patient for volume replacement. What is the primary benefit of choosing lactated Ringer's?
Correct Answer: C
Rationale: The correct answer is C because lactated Ringer's contains lactate, which is converted to bicarbonate in the body, helping to decrease acidosis in a hypovolemic patient. Normal saline does not have this buffering effect. A is incorrect because both solutions stay in the vascular system similarly. B is incorrect as neither solution carries red blood cells. D is incorrect as lactated Ringer's does not increase acidosis but helps decrease it.