ATI RN
Care of Patients with Shock Practice Questions Questions
Question 1 of 5
At what point in an NA's employment would a probationary performance review be completed?
Correct Answer: D
Rationale: The correct answer is D: At 3 months. A probationary performance review is typically conducted early in an employee's tenure to assess their performance and suitability for the role. This review occurs at 3 months to provide timely feedback and address any concerns early on. Waiting until 6, 9, or 18 months would be too late to address any performance issues or make necessary adjustments. Therefore, conducting the probationary review at 3 months allows for effective evaluation and support for the new employee.
Question 2 of 5
While conducting an oral assessment, a nurse notices the patients gums are red and swollen, some teeth are loose, and blood and pus can be expressed when the gums are palpated. What condition do these symptoms indicate?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) periodontitis. Periodontitis is a severe gum infection characterized by red and swollen gums, loose teeth, and the presence of blood and pus upon palpation. These symptoms indicate an advanced stage of gum disease that affects the supporting structures of the teeth. Option B) plaque is incorrect because plaque is a sticky film of bacteria that forms on teeth and can contribute to gum disease, but it is not the same as periodontitis, which is a more severe form of gum disease involving inflammation and infection of the gums and surrounding tissues. Option C) halitosis refers to bad breath and is not indicative of the specific gum symptoms described in the scenario. Option D) caries are dental cavities or tooth decay, which do not present with the gum-related symptoms described in the question. Educationally, understanding the difference between periodontitis and other oral health conditions is crucial for healthcare professionals, especially nurses caring for patients with shock. Periodontitis can have systemic implications and may worsen the overall health status of patients, particularly those already compromised by conditions like shock. Recognizing the signs and symptoms of periodontitis early on can lead to appropriate interventions and prevent further complications, underscoring the importance of oral health assessment in overall patient care.
Question 3 of 5
A nurse is teaching an older woman how to move and lift her disabled husband. The woman has osteoarthritis of the hips and knees. What is the goal of the nurses teaching plan?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) minimize stress on the wife's joints. The goal of the nurse's teaching plan should be to ensure that the wife can safely move and lift her disabled husband without exacerbating her osteoarthritis. Proper body mechanics and techniques can help reduce the strain on her joints, preventing further damage and discomfort. Option B) providing exercise for the husband is incorrect because the focus of the teaching plan should be on the wife's safety and well-being, not on the husband's exercise routine. Option C) increasing socialization with neighbors is unrelated to the immediate need of addressing the wife's physical limitations and osteoarthritis during caregiving activities. Option D) maintaining self-esteem of the wife is important, but in this specific context, the priority should be on ensuring her physical safety and preventing joint strain. Educationally, this question highlights the importance of understanding the specific needs of individuals with physical limitations, such as osteoarthritis, and the role of proper body mechanics in reducing strain and preventing injury. It also emphasizes the need for tailored teaching plans that address the unique challenges faced by caregivers in such situations. By choosing the correct answer, students learn the practical application of nursing interventions in the context of musculoskeletal health and patient safety.
Question 4 of 5
A patient tells the nurse, Every time I sneeze, I wet my pants. What is this type of involuntary escape of urine called?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) urinary incontinence. Stress incontinence is the involuntary leakage of urine that occurs during physical activities like sneezing, coughing, laughing, or exercising. This type of incontinence is due to weakened pelvic floor muscles or sphincter incompetence, leading to the inability to control urine flow when pressure is exerted on the bladder. Option B) urinary incompetence is not a recognized term in the context of urinary issues. Option C) normal micturition refers to the normal process of urination and does not describe involuntary leakage. Option D) uncontrolled voiding is a vague description that does not specifically refer to the type of urinary incontinence presented in the question. From an educational standpoint, understanding different types of urinary incontinence is crucial for healthcare providers caring for patients with these issues. By recognizing the symptoms and causes of stress incontinence, nurses can provide appropriate interventions and support to improve the quality of life for individuals experiencing this condition. Educating patients on pelvic floor exercises, lifestyle modifications, and potential medical treatments is essential in managing stress incontinence effectively.
Question 5 of 5
What term is used to describe intestinal gas?
Correct Answer: D
Rationale: In this question, the correct answer is D) flatus. It is important to understand that flatus is the term used to describe intestinal gas. Flatus is composed of gases produced by the action of bacteria on food in the intestines. Understanding this terminology is crucial in the context of caring for patients with shock as excessive flatus can be a sign of certain conditions or complications such as bowel obstruction or certain types of infections. Now, let's look at why the other options are incorrect: A) Feces: Feces refers to solid waste matter discharged from the intestines. B) Stool: Stool is another term for feces, referring to the solid waste matter that is excreted. C) Peristalsis: Peristalsis is the involuntary constriction and relaxation of the muscles of the intestine, which moves the contents through the gastrointestinal tract. Educationally, understanding the terminology related to gastrointestinal functions is crucial for healthcare providers, especially those caring for patients with shock. Recognizing and interpreting signs and symptoms related to intestinal functions can provide valuable diagnostic insights and guide appropriate interventions. Therefore, mastering these terms is essential for providing comprehensive and effective patient care.