ATI RN
Basic Nursing Care Needs of the Patient PPT Questions
Question 1 of 5
A resident who has had a cerebrovascular accident and has diminished sensation may be at risk for
Correct Answer: C
Rationale: The correct answer is C: Burns. Diminished sensation in a resident with a cerebrovascular accident can lead to an inability to feel pain or temperature changes, increasing the risk of burns from hot surfaces or liquids. This is due to impaired sensation, making the individual unaware of potential dangers. Rashes and warts (Choice A) are unrelated to diminished sensation. Decreased urination (Choice B) is more commonly associated with kidney or urinary tract issues. Seizures (Choice D) are not directly related to diminished sensation but may be a complication of a cerebrovascular accident.
Question 2 of 5
One complication of immobility for the integumentary system is
Correct Answer: D
Rationale: The correct answer is D: Pressure injuries. Immobility reduces blood flow to the skin, leading to pressure injuries like bedsores. Constipation (A) is a complication of immobility for the digestive system. Blood clots (B) are a complication for the circulatory system. Muscle atrophy (C) is a complication for the muscular system due to lack of movement.
Question 3 of 5
The stage of dying in which a person prepares for death is identified as
Correct Answer: D
Rationale: The correct answer is D: Acceptance. This stage, according to Elisabeth Kubler-Ross' model of grief, involves coming to terms with one's mortality and making peace with death. During this stage, individuals may feel a sense of calmness and readiness for their impending death. Bargaining (A) involves seeking to negotiate or make deals to avoid death. Depression (B) is characterized by feelings of sadness and hopelessness about the impending death. Denial (C) is the initial stage where individuals refuse to accept the reality of their terminal illness. Acceptance (D) is the final stage where individuals have embraced their impending death and are at peace with it.
Question 4 of 5
During preoperative assessment for a 7:30 AM (0730) surgery, the nurse finds the patient drank a cup of coffee this morning. The nurse reports this information to the anesthesia provider. Which action does the nurse anticipate next?
Correct Answer: A
Rationale: The correct answer is A: A delay in or cancellation of surgery. Consuming coffee before surgery can lead to increased gastric fluid volume and acidity, potentially increasing the risk of aspiration during anesthesia induction. To minimize this risk, surgery may be delayed or canceled to allow time for the stomach to empty. Summary: B: Questions regarding components of the coffee - Irrelevant as the concern is the effect of coffee on gastric fluid. C: Additional questions about why the patient had coffee - Irrelevant, the focus is on the impact of coffee on surgery. D: Instructions to determine what education was provided in the preoperative visit - Irrelevant, the immediate concern is the impact of coffee on surgery.
Question 5 of 5
Your adult patient called for help after he began to vomit bright red blood. On arrival, the patient is found to be tachycardic and bleeding freely from his mouth. His respirations are shallow, and his skin is cool with a blood pressure of 68 systolic. His only history involves liver disease from chronic alcoholism. He denies drinking recently. What should be the goal of your pre-hospital intervention with this patient after ensuring his airway and applying oxygen therapy?
Correct Answer: A
Rationale: The correct answer is A: Fluid resuscitation to maintain a systolic blood pressure of 80-90 systolic. In this scenario, the patient is presenting signs of hypovolemic shock due to significant blood loss. The goal of fluid resuscitation is to restore intravascular volume and improve perfusion to vital organs. A systolic blood pressure of 80-90 is a reasonable target to ensure adequate perfusion without causing fluid overload. Choice B is too high of a target for this patient in shock. Choice C is not the immediate priority as controlling the hemorrhage comes first. Choice D is not the primary goal in this critical situation where maintaining blood pressure and perfusion are the priorities.