ATI RN
Basic Nursing Care of the Patient Questions
Question 1 of 5
One guideline for a nursing assistant who is caring for a resident who has a mental health disorder is to
Correct Answer: A
Rationale: The correct answer is A: Take any suicide threat seriously. This is crucial as individuals with mental health disorders are at a higher risk of suicide. Ignoring such threats can have serious consequences. Disregarding loss of appetite can lead to overlooking potential signs of deterioration in the resident's mental health. Avoiding communication with the resident can exacerbate feelings of isolation and worsen the mental health condition. Ignoring dilated pupils may overlook signs of drug use or potential medical issues. Overall, prioritizing the safety and well-being of the resident by taking suicide threats seriously is essential in providing appropriate care.
Question 2 of 5
Rehabilitation revolves around the concept of
Correct Answer: B
Rationale: The correct answer is B: Holistic care. Rehabilitation emphasizes addressing all aspects of an individual's well-being - physical, emotional, social, and mental. Holistic care aligns with this concept by considering the whole person and not just focusing on one aspect. Palliative care (A) focuses on improving quality of life for individuals with serious illnesses, not the same as rehabilitation. Outcome care (C) is about achieving specific results in treatment, not the same as rehabilitation. Primary care (D) pertains to general healthcare services, not specific to rehabilitation's comprehensive approach.
Question 3 of 5
Signs of approaching death include
Correct Answer: D
Rationale: The correct answer is D: Increased urinary output. This is a sign of approaching death due to the body's organs shutting down, leading to decreased functioning of the kidneys and an inability to concentrate urine. Increased urinary output is commonly seen in the final stages of life. Choice A: Dry skin is not a specific sign of approaching death. It can be caused by various factors such as dehydration or skin conditions. Choice B: Rashy skin is also not a definitive sign of approaching death. Skin rashes can be caused by allergies, infections, or other skin conditions. Choice C: High blood pressure is not typically a sign of approaching death. In fact, blood pressure may decrease as the body weakens in the final stages of life. Therefore, the correct answer is D as it is a more specific and relevant sign of the body's decline in the final stages of life.
Question 4 of 5
The nurse is caring for a patient in the postanesthesia care unit. The patient has developed profuse bleeding from the surgical site, and the surgeon has determined the need to return to the operative area. How will the nurse classify this procedure?
Correct Answer: D
Rationale: The correct answer is D: Emergency. This classification is appropriate because the situation involves unexpected, life-threatening bleeding requiring immediate intervention to prevent serious harm or death. In an emergency, prompt action is crucial. The other options are not as fitting: A (Major) refers to a significant but planned procedure, B (Urgent) implies a serious but non-life-threatening situation that requires prompt attention, and C (Elective) indicates a non-urgent, planned surgery.
Question 5 of 5
The nurse is caring for a patient in the operating suite. Which outcome will be most appropriate for this patient at the end of the intraoperative phase?
Correct Answer: A
Rationale: The correct answer is A: The patient will be free of burns at the grounding pad. This outcome is crucial in the intraoperative phase to ensure the patient's safety. Burns at the grounding pad can occur due to improper equipment setup or malfunction, potentially leading to serious complications. Ensuring the patient is free of burns at the grounding pad indicates that proper safety measures were taken during the surgery. Summary: - Choice B (The patient will be free of nausea and vomiting) is related to postoperative care, not intraoperative phase. - Choice C (The patient will be free of infection) is important but not specific to the intraoperative phase. - Choice D (The patient will be free of pain) is also important but not as critical as preventing burns at the grounding pad during the intraoperative phase.