ATI RN
Practice Questions for Patient-Centered Care Questions
Question 1 of 5
An adult trauma patient suffered a fall from greater than 15 feet. When predicting the injuries associated with this type of injury, the paramedic should evaluate the distance fallen, the position of the body on impact, and which of the following?
Correct Answer: A
Rationale: The correct answer is A: The type of landing surface involved. When predicting injuries from a fall, the landing surface is crucial as it determines the amount of force transmitted to the body upon impact. A harder surface can result in more severe injuries. Evaluating the type of landing surface helps in assessing the mechanism of injury and potential injuries sustained. Explanation: - A: The type of landing surface directly affects the force of impact and the resulting injuries. - B: Ambient temperature is not relevant to predicting injuries from a fall. - C: Although important, the patient's neurological status is not directly related to the mechanism of injury in this scenario. - D: While the body parts struck with the most force can indicate potential injuries, it is not as crucial as evaluating the landing surface.
Question 2 of 5
If an adult patient is experiencing the signs and symptoms of a myocardial infarction with perfusing arrhythmias, which of the following pre-hospital interventions will help to reduce the patient's cardiac preload and afterload?
Correct Answer: A
Rationale: The correct answer is A: The intravenous administration of 2-4 mg of morphine per a medical-control physician's order. Morphine helps reduce cardiac preload and afterload by dilating blood vessels and reducing the workload on the heart. This leads to decreased oxygen demand and improved perfusion to the heart muscle. Choice B is incorrect because controlling specific dysrhythmias does not directly reduce cardiac preload and afterload. Choice C, sublingual nitroglycerin, primarily works by dilating coronary arteries and reducing cardiac afterload, but it may not directly reduce preload. Choice D, high-flow oxygen therapy, may be beneficial for oxygenation but does not directly address preload and afterload reduction.
Question 3 of 5
Which of the following medications may be effective in reversing the signs and symptoms of dystonia?
Correct Answer: D
Rationale: Diphenhydramine is the correct answer because it is an anticholinergic medication that can block acetylcholine receptors, which helps alleviate dystonia symptoms. Promethazine (A) is an antihistamine and does not target acetylcholine receptors. Morphine sulfate (B) is an opioid analgesic and is not used for dystonia. Lidocaine (C) is a local anesthetic and is not indicated for treating dystonia. Therefore, Diphenhydramine (D) is the most appropriate choice for reversing the signs and symptoms of dystonia.
Question 4 of 5
Your adult patient is experiencing lightheadedness and shortness of breath. He is found to be bradycardic with a second-degree type II AV heart block on the electrocardiogram. His heart rate is 44, he is breathing 20 times per minute, and has a blood pressure of 90 systolic. He is cool and pale but denies chest pain. Which of the following would be most appropriate if the patient fails to respond to atropine?
Correct Answer: C
Rationale: The correct answer is C: Transcutaneous pacing. In a patient with second-degree type II AV heart block and hemodynamic instability, transcutaneous pacing is the most appropriate intervention. This is because it directly stimulates the heart to maintain an adequate heart rate when other measures like atropine have failed. Synchronized cardioversion (choice B) is not indicated for bradycardia. Epinephrine (choice A) may worsen the AV block and increase the risk of ventricular arrhythmias. Administering a large IV bolus of normal saline (choice D) may not address the underlying conduction abnormality and could potentially worsen the patient's condition. Transcutaneous pacing is the most effective intervention to stabilize the patient's heart rate and improve perfusion in this scenario.
Question 5 of 5
Which classification of personal protective clothing offers the highest respiratory system protection but a lower level of skin protection?
Correct Answer: C
Rationale: The correct answer is C: Level B. Level B protective clothing provides the highest respiratory system protection by using a self-contained breathing apparatus (SCBA) but offers lower skin protection compared to Level A. Level D offers no respiratory or skin protection. Level C provides chemical splash protection but less respiratory protection than Level B. Level A offers the highest level of both respiratory and skin protection. In this scenario, Level B is the best choice as it prioritizes respiratory protection while still providing some level of skin protection.