ATI RN
Basic Principles of Long-Term Patient Care Developing a Therapeutic Community Questions
Question 1 of 5
Multi-morbidity can be defined as:
Correct Answer: E
Rationale: Multi-morbidity is clinically defined as the co-existence of 2+ chronic diseases in one person, aligning with option E, a standard definition in medical literature.
Question 2 of 5
Instillation of local anesthetic into the trachea via the cricothyroid membrane is MOST likely to block which of the following nerves?
Correct Answer: C
Rationale: The recurrent laryngeal nerve innervates the trachea below the vocal cords; instillation via the cricothyroid membrane targets this nerve for anesthesia.
Question 3 of 5
The nurse is encouraging the postoperative patient to utilize diaphragmatic breathing. Which priority goal is the nurse trying to achieve?
Correct Answer: B
Rationale: The correct answer is B: Prevent atelectasis. Diaphragmatic breathing helps improve lung expansion, prevent atelectasis (lung collapse), and promote optimal gas exchange postoperatively. By utilizing diaphragmatic breathing, the nurse aims to prevent respiratory complications and promote overall lung health. A: Managing pain is important but not the priority goal of diaphragmatic breathing in this scenario. C: While diaphragmatic breathing may indirectly help reduce healing time by improving oxygenation, it is not the primary goal. D: Diaphragmatic breathing does not directly address thrombus formation; other interventions like early ambulation are more effective for this purpose.
Question 4 of 5
The postanesthesia care unit (PACU) nurse transports the inpatient surgical patient to the medical-surgical floor. Before leaving the floor, the medical-surgical nurse obtains a complete set of vital signs. What is the rationale for this nursing action?
Correct Answer: B
Rationale: The correct answer is B because obtaining a complete set of vital signs before transport allows for baseline comparison and monitoring for any variations during the transport process. This is crucial in identifying any potential complications or changes in the patient's condition. It ensures continuity of care and early detection of any issues. A: This choice is incorrect as obtaining vital signs before transport is more about monitoring changes rather than completing a head-to-toe assessment. C: This choice is incorrect because obtaining vital signs is not solely to ensure that the nurse checks on the patient postoperatively. D: This choice is incorrect as the primary rationale is not just to follow hospital policy, but rather to monitor vital signs for changes during transport.
Question 5 of 5
Pericardial tamponade and hemorrhagic shock present very similarly in the pre-hospital environment. What is the best way, of those listed, to distinguish between the two diagnoses?
Correct Answer: A
Rationale: The correct answer is A. Jugular vein distension is a classic sign of pericardial tamponade due to impaired filling of the right heart chambers. In contrast, hemorrhagic shock typically does not cause jugular vein distension. This distinction is crucial in the pre-hospital setting to differentiate between the two conditions. Choice B is incorrect because cyanosis is not a reliable differentiating factor between pericardial tamponade and hemorrhagic shock. Choice C is incorrect because pericardial tamponade often leads to hypotension due to decreased cardiac output, whereas hemorrhagic shock can also present with hypotension. Choice D is incorrect as the type of tachycardia is not a definitive differentiator between the two conditions.