ATI RN
Patient-Centered Care UNMC Addiction Practice Questions Questions
Question 1 of 5
All of the following suggest urethral injury EXCEPT
Correct Answer: D
Rationale: The correct answer is D because the absence of a palpable prostate on rectal exam is not a direct indicator of urethral injury. A palpable prostate is more related to prostate health rather than urethral injury. Scrotal hematoma, blood in the rectal lumen, and blood in the external urethral meatus are all signs that suggest urethral injury due to trauma or other causes. These symptoms are more specific to the urethra and its surrounding structures, making them more relevant indicators of urethral injury compared to the absence of a palpable prostate.
Question 2 of 5
A 15 year old male presents following a motorcycle crash. Initial examination reveals normal vital signs. There is a large bruise over his epigastrium that extends to the left flank. He has no other apparent injuries. A CT-scan of the abdomen demonstrates a ruptured spleen surrounded by a large hematoma and fluid in the pelvis. The next step in the patient's management is:
Correct Answer: D
Rationale: The correct answer is D: "Surgical consult." A ruptured spleen is a surgical emergency that may require splenectomy. A surgical consult is needed to evaluate the patient's condition, determine the need for surgery, and plan the appropriate management. Splenic artery embolization (choice A) may be considered in stable patients, but this patient has a large hematoma and fluid in the pelvis, suggesting active bleeding and hemodynamic instability, which would require surgery. Pneumococcal vaccine (choice B) is important for patients without a spleen post-splenectomy, but it is not the immediate next step in management. Urgent laparotomy (choice C) is too specific without considering the need for surgical evaluation first.
Question 3 of 5
The best type of jewelry for an NA to wear to work is
Correct Answer: B
Rationale: The correct answer is B: A watch. A watch is the best type of jewelry for an NA to wear to work because it is both functional and professional. It helps the NA keep track of time during their shift and is a practical accessory in a healthcare setting. A broach, bracelet, and necklace may pose safety hazards or interfere with patient care tasks. A watch is subtle, non-intrusive, and serves a practical purpose without compromising professionalism.
Question 4 of 5
Which of the following is considered a sign of neglect?
Correct Answer: B
Rationale: The correct answer is B: Weight loss. Weight loss can be a sign of neglect as it may indicate lack of proper nutrition or medical care. Neglect can lead to unintentional weight loss due to inadequate food intake or untreated medical conditions. Burns shaped in certain ways, changing doctors frequently, and wearing makeup to hide injuries are not necessarily direct signs of neglect. Burns can be accidental, changing doctors may be due to personal preferences or insurance reasons, and wearing makeup to hide injuries could be a sign of abuse rather than neglect. Weight loss, on the other hand, is a more clear indicator of neglect as it directly relates to the individual's overall well-being and care.
Question 5 of 5
Why must a nursing assistant be concerned about privacy if documentation is done electronically?
Correct Answer: D
Rationale: The correct answer is D because electronic documentation contains confidential information that should only be accessed by authorized personnel. Nursing assistants must maintain patient privacy to uphold ethical standards and protect sensitive data. Choice A is incorrect as the focus is on external threats rather than internal privacy concerns. Choice B is incorrect because the federal government does not monitor all computers in LTC facilities. Choice C is incorrect as it assumes residents are the primary privacy concern rather than unauthorized individuals.