ATI RN
Basic Nursing Care of the Patient Questions
Question 1 of 5
On Saturday the registered nurse reviews written request dated Friday: 'Attention Dr. P. chronic pain. Medication has not arrived yet and the pain is unbearable. Getting more. Need to see you as soon as possible.' Which of the following is the best triage action?
Correct Answer: C
Rationale: A face-to-face assessment is necessary to evaluate the severity of the pain and provide immediate care.
Question 2 of 5
The prevention and control of healthcare associated infection is whose responsibility?
Correct Answer: D
Rationale: The correct answer is D, as infection prevention and control is the responsibility of every individual working in healthcare settings.
Question 3 of 5
The proposed SBAR4 model is:
Correct Answer: A
Rationale: SBAR4 is an extension of SBAR, enhancing inter-professional communication. It's not specific to consultation theory, comorbidities, or treatment development, but builds on the original communication framework.
Question 4 of 5
Ms. Kelly. has had a CVA (cerebrovascular accident) and has severe right-sided weakness. She has been taught to walk with a cane. The nurse is evaluating her use of the cane prior to discharge. Which of the following reflects correct use of the cane?
Correct Answer: A
Rationale: When a client with weakness on one side uses a cane, there should always be two points of contact with the floor. When Ms. Kelly moves the cane forward, she has both feet on the floor, providing stability. As she moves the weak leg, the cane and the strong leg provide support. Finally, the cane, which is now even with the weak leg, provides stability while she moves the strong leg. She should not hold the cane with her weak arm. The use of the cane requires arm strength to ensure that there is adequate stability when standing on the weak leg.
Question 5 of 5
Which of the following conditions MOST likely causes a rightward shift in the oxyhemoglobin dissociation curve?
Correct Answer: C
Rationale: Hyperthermia shifts the oxyhemoglobin dissociation curve rightward, reducing hemoglobin's oxygen affinity and enhancing tissue oxygen delivery.