ATI RN
Basics of Patient Care Questions
Question 1 of 5
After intubating your apneic patient, what tube placement confirmation means should be assessed first?
Correct Answer: B
Rationale: The correct answer is B: Attach capnography to determine the presence of ventilatory waveform. This is the first tube placement confirmation to assess because it provides immediate feedback on proper endotracheal tube placement by showing a waveform indicating exhaled CO2. This confirms the tube is in the trachea and not the esophagus. Auscultating lung fields (A) only confirms air entry but not tube placement. An end-tidal CO2 detector (C) provides immediate confirmation like capnography but does not show the waveform for visualization. Auscultating over the epigastric region (D) is not a reliable method for confirming tube placement.
Question 2 of 5
All of the following signs on the chest x-ray of a blunt injury victim may suggest aortic rupture EXCEPT:
Correct Answer: A
Rationale: The correct answer is A: Mediastinal emphysema. In aortic rupture, air can leak into the mediastinum causing mediastinal emphysema. This suggests aortic injury. Choices B, C, and D are actually signs of aortic rupture. A "pleural cap" is seen in aortic rupture due to hemorrhage dissecting into the pleura. Obliteration of the aortic knob occurs due to aortic injury, and tracheal deviation to the right can occur due to a large hematoma pushing the trachea.
Question 3 of 5
A young man sustains a gunshot wound to the abdomen and is brought promptly to the ED by prehospital personnel. His skin is cool and diaphoretic, and he is confuse His pulse is thready and his femoral pulse is only weakly palpable. The definitive treatment in managing this patient is to
Correct Answer: C
Rationale: The correct answer is C: Control internal hemorrhage operatively. In this scenario, the young man's presentation suggests hypovolemic shock due to internal bleeding. Prompt surgical intervention to control the source of bleeding is crucial to stabilize the patient's condition. Administering blood (Choice A) may be necessary but addressing the hemorrhage source is the priority. External warming devices (Choice B) and pneumatic anti-shock garments (Choice D) are not appropriate in this situation as the primary concern is controlling the internal bleeding to prevent further deterioration.
Question 4 of 5
Healthy young male in a motor vehicle crash has a BP of 84/60 and pulse 123. After fluid resuscitation, the next step is:
Correct Answer: A
Rationale: The correct answer is A: "Placement of a pelvic binder." In a trauma scenario with hypotension and tachycardia, the priority is to address potential life-threatening hemorrhage. Pelvic binders stabilize pelvic fractures, reducing bleeding and improving hemodynamics. This intervention can be crucial in preventing further blood loss and stabilizing the patient's condition. The other choices are not immediate priorities. Transferring to a trauma center can be done after stabilizing the patient. Pelvic x-ray and urinary catheter insertion are important for further evaluation but not urgent in this critical situation.
Question 5 of 5
A 82 year old male falls down five stairs and presents to the E All following statements are true statements regarding his condition compared to a younger patient with similar mechanism, except:
Correct Answer: D
Rationale: The correct answer is D because the older patient is less likely to exhibit delayed symptoms compared to a younger patient. This is because older individuals may have reduced sensory perception, leading to immediate symptoms post-injury. Choice A is incorrect as older adults often have decreased circulatory volume. Choice B is incorrect because the elderly are more likely to have pre-existing spinal issues, increasing the risk of cervical spine injury. Choice C is incorrect as older individuals have a higher likelihood of occult fractures due to decreased bone density.