ATI RN
Patient-Centered Care UNMC Addiction Practice Questions Questions
Question 1 of 5
Hemorrhage of 20% of the patient's blood volume is associated usually with:
Correct Answer: D
Rationale: The correct answer is D: Tachycardia. When a patient experiences hemorrhage of 20% of blood volume, the body compensates by increasing heart rate to maintain adequate blood flow and oxygen delivery. Tachycardia is a common physiological response to hemorrhage. Oliguria (A) is reduced urine output, which may occur with severe dehydration but not specifically with hemorrhage. Confusion (B) is more likely to occur with severe hypovolemic shock rather than with a 20% blood loss. Hypotension (C) typically occurs with more significant blood loss, around 30% or more. Tachycardia is the earliest and most sensitive indicator of hemorrhage.
Question 2 of 5
A 22 year old male presents following a motorcycle crash. He complains of the inability to move his legs. His BP is 80/50, HR 70, RR 18 and GCS 15. Oxygen saturation is 99% on 21 nasal prongs. Chest x-ray, pelvic x-ray and FAST are normal. Extremities are normal. His management should be:
Correct Answer: B
Rationale: The correct answer is B: 2L of iv crystalloid and vasopressors if BP does not respond. In this scenario, the patient is likely experiencing spinal shock leading to neurogenic shock, causing hypotension. Initial management should focus on fluid resuscitation with crystalloids to address hypovolemia. If the blood pressure does not respond to fluid resuscitation, vasopressors should be initiated to maintain perfusion. Choice A does not address the potential neurogenic shock, and giving blood transfusions without evidence of active bleeding is not indicated. Choice C with mannitol and steroids is not appropriate for this patient. Choice D with laparotomy is not indicated as there are no signs of abdominal trauma.
Question 3 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." In this scenario, the patient has a ruptured spleen with associated hematoma and fluid in the pelvis, indicating active bleeding. A surgical consult is necessary to evaluate the need for surgical intervention such as splenectomy or splenic artery embolization. A surgical approach is crucial to control bleeding and manage potential complications. Choice A, splenic artery embolization, may be a treatment option, but a surgical consult is needed first to assess the patient's overall condition and suitability for this procedure. Choice B, pneumococcal vaccine, is important for patients with splenectomy but is not the immediate priority in this acute setting. Choice C, urgent laparotomy, is too specific without knowing the patient's stability and overall condition, making a surgical consult a more appropriate initial step.
Question 4 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 functional and professional. A watch helps keep track of time and ensures punctuality, a crucial aspect of any job. A broach, bracelet, or necklace may be distracting, noisy, or not suitable for some work environments. Additionally, a watch is a subtle accessory that complements a professional appearance without being overly flashy or distracting.
Question 5 of 5
Which of the following is considered a sign of neglect?
Correct Answer: B
Rationale: Weight loss is considered a sign of neglect because it can indicate lack of proper nutrition and care. Neglect can lead to inadequate food provision, resulting in weight loss. Burns shaped in certain ways, changing doctors frequently, and wearing makeup to hide injuries are not definitive signs of neglect as they can have various explanations unrelated to neglect.