ATI RN
Basic Care of Dying Patient Questions
Question 1 of 5
Ms. Tan is a 69-year-old Singaporean lady who is ADL independent. She is currently unemployed and living on her very limited savings. Which of the following health financial schemes are available to help her in her healthcare?
Correct Answer: B
Rationale: The correct answer is B) Pioneer Generation and CHAS (Community Health Assist Scheme) orange cards to help in her healthcare needs. Pioneer Generation Package is specifically designed to provide additional support for healthcare costs to Singaporeans born on or before 31 December 1949. This scheme offers subsidies for outpatient care, specialist outpatient care, and medication. The CHAS orange card complements this by providing subsidized healthcare at participating clinics. Option A is incorrect because the Pioneer Development card does not exist. Option C is incorrect as IDAPE is a scheme to provide financial assistance to low-income elderly individuals who require long-term care services, not for general healthcare needs. Option D is incorrect as there is no CHAS blue card. In an educational context, understanding the available health financial schemes is crucial for healthcare providers caring for patients who may require financial assistance for their healthcare needs. By knowing the eligibility criteria and benefits of different schemes, healthcare professionals can guide patients like Ms. Tan to access the appropriate support to ensure they receive the necessary care without financial burden.
Question 2 of 5
Which of the following components is MISPLACED in the circle system shown in the above illustration?
Correct Answer: A
Rationale: In the context of the Basic Care of Dying Patient exam, understanding the components of a circle system is crucial for providing safe and effective care. In this question, the correct answer is A) Fresh gas inlet because in a circle system, this component is typically located on the anesthesia machine where it allows for the delivery of oxygen and other gases to the patient. Option B) CO2 absorber is an essential component in the circle system as it removes exhaled carbon dioxide to prevent rebreathing of CO2 by the patient. Option C) Expiratory valve is also a necessary part of the system as it allows the exhaled gases to be released from the circuit. Option D) Inspiratory valve is essential for controlling the direction of the flow of gases during the breathing cycle. Understanding the placement and function of each component in the circle system is vital for ensuring proper ventilation and gas exchange for a patient, especially in critical care settings such as when caring for a dying patient. By selecting the correct answer, learners demonstrate their knowledge of the equipment used in patient care and their ability to identify misplaced components that could impact patient safety and care quality.
Question 3 of 5
The nurse is preparing a patient for surgery. Which goal is a priority for assessing the patient before surgery?
Correct Answer: B
Rationale: The correct answer is B: Establish a patient's baseline of normal function. Before surgery, assessing the patient's baseline helps identify any deviations from normal, enabling early detection of potential complications. It provides crucial information for planning perioperative care and interventions. Choice A (Plan for care after the procedure) is important but not the priority. Assessing the patient's baseline comes first to ensure a smooth surgical process. Choice C (Educate the patient and family about the procedure) is essential, but assessing the baseline takes precedence to ensure patient safety. Choice D (Gather appropriate equipment for the patient's needs) is necessary but is a task that usually follows the assessment of the patient's baseline.
Question 4 of 5
The nurse is caring for a postoperative patient who has had a minimally invasive carpel tunnel repair. The patient has a temperature of 97° F and is shivering. Which reason will the nurse most likely consider as the primary cause when planning care?
Correct Answer: A
Rationale: The correct answer is A: Anesthesia lowers metabolism. Anesthesia can cause hypothermia by decreasing the body's ability to regulate temperature, leading to shivering as a compensatory mechanism. Shivering helps increase heat production. Choices B, C, and D are incorrect as they do not directly relate to the primary cause of the patient's shivering in this context. Choice B is irrelevant as it does not address the physiological reason for the shivering. Choice C is not the primary cause as wearing a gown alone would not lead to shivering. Choice D is incorrect as it refers to a large open body cavity, which is not relevant in a minimally invasive carpal tunnel repair.
Question 5 of 5
Which of the following findings is most concerning in a patient with chest pain?
Correct Answer: C
Rationale: The correct answer is C: Shortness of breath and diaphoresis. This combination indicates possible heart-related issues like a heart attack. Shortness of breath suggests inadequate oxygen supply, and diaphoresis (excessive sweating) may indicate severe stress on the heart. It is concerning as it can signify a life-threatening condition. A: A burning sensation after eating is likely related to acid reflux. B: Pain that improves with rest is typically seen in musculoskeletal issues. D: Pain that worsens with palpation is more indicative of musculoskeletal or chest wall pain, not necessarily a cardiac event.