ATI RN
Chapter 70 Care of Patients with Breast Disorders Practice Questions Questions
Question 1 of 5
A type of device used to help a disabled person perform activities of daily living is a(n)
Correct Answer: B
Rationale: The correct answer is B: Assistive device. Assistive devices are designed to help disabled individuals perform daily tasks independently. They can range from simple tools to complex technology. Orthotic devices (A) provide support or correct alignment, not necessarily for daily tasks. Restorative devices (C) aim to restore function rather than assist in daily living. Range of motion devices (D) focus on improving mobility, not specifically aiding in daily activities. Therefore, B is the best choice for devices that facilitate activities of daily living for disabled individuals.
Question 2 of 5
The nurse and the nursing assistive personnel (NAP) are caring for a group of postoperative patients who need turning, coughing, deep breathing, incentive spirometer, and leg exercises. Which task will the nurse assign to the NAP?
Correct Answer: D
Rationale: The correct answer is D because it involves a task appropriate for the nursing assistive personnel (NAP) that aligns with their scope of practice. Here's the rationale: 1. NAP can inform the nurse if the patient is unwilling to perform exercises as it requires observation and communication, fitting their role. 2. Teaching postoperative exercises (choice A) involves providing instructions and guidance, which is typically within the nurse's scope of practice. 3. Doing nothing associated with postoperative exercises (choice B) is not appropriate and goes against the principles of patient care. 4. Documenting in the medical record (choice C) requires critical thinking and decision-making skills, typically done by nurses rather than NAP.
Question 3 of 5
You are called to assist an adult diabetic who was found unconscious in bed. On arrival, your patient is unresponsive with snoring respirations and cool, clammy skin. Your glucometer will not power up, so blood glucose analysis is impossible at the present time. Which of the following would be most appropriate after controlling the patient's airway and delivering high-flow oxygen therapy?
Correct Answer: B
Rationale: The correct answer is B because administering one amp of dextrose 50% (D50) intravenously is the most appropriate action for an unconscious diabetic patient with hypoglycemia. Here's the rationale: 1. Glucagon (Choice A) requires an intact liver glycogen store to be effective, which may not be the case in some diabetic patients. 2. Administering a glucose-containing IV fluid bolus (Choice C) may delay the delivery of glucose to the brain, which is critical in this emergency situation. 3. Transporting the patient to the hospital for blood glucose analysis (Choice D) would waste valuable time, as immediate glucose administration is crucial. Administering D50 intravenously provides a rapid source of glucose directly into the bloodstream, ensuring a quick increase in blood sugar levels to reverse hypoglycemia and improve the patient's condition.
Question 4 of 5
You are on-scene assisting another crew with a childbirth call that quickly turned into a neonatal resuscitation. The newborn does not have a palpable brachial pulse, but muffled heart tones and the monitor confirm a sluggish heart rate of 55 beats per minute. After reassessing him after a few minutes of high-quality chest compressions and effective ventilations with 100% oxygen concentration, the patient's heart rate fails to respond. Which of the following would be considered a class IIa intervention for this patient?
Correct Answer: A
Rationale: The correct answer is A: 0.1 mg/mL of a 1:10,000 concentration of epinephrine delivered via the intraosseous route. In neonatal resuscitation, when chest compressions and ventilation do not improve the heart rate, administering epinephrine is crucial. In this scenario, the intraosseous route is preferred due to the difficulty in obtaining IV access in neonates. Intraosseous administration provides rapid access to the circulatory system, ensuring timely delivery of medication. Choice B is incorrect because intramuscular administration may lead to delayed absorption and inconsistent drug levels. Choice C is incorrect as endotracheal administration of epinephrine is less effective and associated with higher doses needed. Choice D is incorrect as intravenous access may be challenging in neonates and intraosseous route is preferred for rapid drug delivery.
Question 5 of 5
You are intubating a 26-year-old who is apneic. Once the endotracheal tube passes through the vocal cords, how much farther should the endotracheal tube be advanced before inflating the cuff and confirming proper placement?
Correct Answer: A
Rationale: The correct answer is A: 0.5 to 1 inch. After the endotracheal tube passes through the vocal cords, it should be advanced approximately 0.5 to 1 inch into the trachea before inflating the cuff. This ensures the cuff is positioned below the cords to prevent aspiration and secure ventilation. Choices B and C are too short of a distance, risking dislodgment or improper placement. Choice D is excessively far, potentially leading to endobronchial intubation. The recommended range of 0.5 to 1 inch provides a balance between securing the tube and minimizing complications.