ATI RN
Provide Basic Patient Care Following Direction of Nursing Staff Questions
Question 1 of 5
A type of severe pain that occurs unexpectedly in some people with cancer is
Correct Answer: C
Rationale: The correct answer is C: Breakthrough pain. Breakthrough pain is a type of severe pain that occurs unexpectedly in cancer patients, even when they are already on pain medications. It "breaks through" the regular pain control regimen. This type of pain is often intense and short-lived, requiring immediate treatment. Expressive pain (A) and Receptive pain (D) are not recognized medical terms. Obstructive pain (B) refers to pain caused by physical blockages and is not typically associated with cancer-related pain.
Question 2 of 5
What is one way a nursing assistant can help a family respond to the death of a loved one?
Correct Answer: B
Rationale: The correct answer is B: Promptly reporting a request for a clergy visit. This is the best choice because it shows empathy and support for the family's spiritual and emotional needs during a difficult time. It respects the family's beliefs and values, providing them with the necessary support from a clergy member. It helps the family cope with their grief and find comfort in their faith. Choice A is incorrect as imposing personal religious beliefs on the family may not align with their own beliefs, causing discomfort. Choice C is incorrect as isolating the family and friends can lead to further emotional distress and hinder the grieving process. Choice D is incorrect as judging past behavior is not helpful and may cause additional emotional pain for the family.
Question 3 of 5
The nurse has completed a preoperative assessment for a patient going to surgery and gathers assessment data. Which will be the most important next step for the nurse to take?
Correct Answer: A
Rationale: Step 1: The patient has a latex allergy as per the assessment. Step 2: Notifying the operating suite ensures patient safety. Step 3: Latex exposure during surgery can lead to severe allergic reactions. Step 4: Alerting the team allows for appropriate precautions to be taken. Step 5: Documenting the bath or administering antibiotics is not as crucial.
Question 4 of 5
You are called to assist a pregnant female in the 24th week gestation period according to her due date. The pale 26-year-old patient is found supine in bed, complaining of dizziness/weakness with extreme nausea. The patient denies vaginal bleeding, amniotic fluid leakage, or abdominal pain. There are no signs of imminent birth or active labor. She reports receiving normal prenatal care with no associated problems found during the pregnancy. Her heart rate is 126-130 beats per minute; her blood pressure is 80 mmHg systolic while her skin is cool and pale. Which of the following conditions is most likely to cause the patient's presentation?
Correct Answer: C
Rationale: The correct answer is C: Supine hypotension. The patient's presentation indicates a drop in blood pressure due to the supine position, leading to decreased blood flow returning to the heart, causing dizziness, weakness, and nausea. This is common in late pregnancy due to the enlarged uterus compressing the vena cava. Choice A, uterine rupture, is unlikely as there are no signs of acute abdominal pain or bleeding. Choice B, spontaneous abortion, is unlikely as there is no vaginal bleeding. Choice D, placenta previa, is less likely as there is no vaginal bleeding or abdominal pain associated with this condition. Therefore, the most likely cause of the patient's presentation is supine hypotension.
Question 5 of 5
You are ordered to administer 3 mg/min of lidocaine via intravenous infusion to your cardiac patient who presents with a heart rate greater than 130 beats per minute as well as greater than 10 multifocal PVCs every minute. Therefore, you quickly but carefully mix 2 grams of the medication in 500 mL of normal saline and attach micro-drip tubing to the solution bag. Which of the following drip rates would effectively deliver the ordered dose of lidocaine?
Correct Answer: B
Rationale: The correct answer is B: 30 gtts/min. To determine the drip rate, we need to calculate the following: 1. Calculate the total volume to be infused per minute: 3 mg/min = 3000 mcg/min (1 mg = 1000 mcg) 2. Calculate the concentration of lidocaine in the solution: 2 grams in 500 mL = 4 mg/mL 3. Calculate the total volume of lidocaine in one minute: 3000 mcg/min ÷ 4 mg/mL = 750 mL/min 4. Calculate the drip rate: 750 mL/min x 60 gtts/mL (for micro-drip tubing) = 45000 gtts/min 5. Finally, divide the total drip rate by the drop factor of the micro-drip tubing (60 gtts/mL): 45000 gtts/min ÷ 1500 gtts/mL = 30 gtts/min. Therefore, the correct answer is