ATI RN
Basic Principles of Patient Care Questions
Question 1 of 5
One guideline for a nursing assistant who is giving foot care to a resident with diabetes is to
Correct Answer: A
Rationale: The correct answer is A because applying products between the toes can lead to moisture buildup, increasing the risk of fungal infections in diabetic patients. This guideline helps prevent complications like athlete's foot. Turning socks over at the tops (B) and using all-nylon socks (C) are not specific to foot care for diabetic patients. Cutting toenails carefully (D) is important but not directly related to diabetic foot care.
Question 2 of 5
What is one problem associated with chest tubes that should be reported by the nursing assistant?
Correct Answer: C
Rationale: The correct answer is C because clots in the drainage tubing can obstruct fluid drainage, leading to potential complications such as pneumothorax or hemothorax. Clots need to be reported as they can impede the effectiveness of the chest tube. Choices A, B, and D are incorrect because they do not directly relate to a critical issue with chest tubes like clots do. A - The drainage system being below chest level can affect drainage but is not as critical as clots. B - The resident's nap schedule is not relevant to chest tube care. D - The orientation of drainage containers being upright does not pose a direct problem unless it impacts drainage flow.
Question 3 of 5
One way for a nursing assistant to determine whether to perform a procedure or not is to
Correct Answer: D
Rationale: The correct answer is D: Perform a procedure if it is within his scope of practice. This is the correct choice because performing procedures within one's scope of practice ensures that the nursing assistant has the necessary training, skills, and legal authorization to safely carry out the task. It aligns with professional standards and guidelines, promoting patient safety and quality care. A, B, and C are incorrect choices because they do not consider the importance of following legal and ethical boundaries in healthcare. Choice A suggests performing procedures without training, which can lead to harm to the patient. Choice B implies a trial-and-error approach, which is unsafe and unprofessional. Choice C disregards the importance of job descriptions and legal limitations, potentially risking patient safety and violating regulations.
Question 4 of 5
The nurse is caring for a postoperative patient on the medical-surgical floor. Which activity will the nurse encourage to prevent venous stasis and the formation of thrombus?
Correct Answer: C
Rationale: The correct answer is C: Leg exercises. Leg exercises promote circulation, preventing venous stasis and thrombus formation postoperatively. Contracting leg muscles helps push blood back to the heart, reducing the risk of blood clots. Diaphragmatic breathing (A) and incentive spirometry (B) aid in lung expansion, not in preventing venous stasis. Coughing (D) helps clear secretions but does not directly prevent thrombus formation.
Question 5 of 5
The nurse is caring for a patient who will undergo a removal of a lung lobe. Which level of care will the patient require immediately post procedure?
Correct Answer: B
Rationale: The correct answer is B: Acute care"”intensive care unit. Immediately post-procedure, the patient undergoing a lung lobe removal will require intensive monitoring and care due to the potential for complications such as respiratory distress, bleeding, or infection. The intensive care unit provides the necessary level of care with specialized equipment and staff to manage these risks effectively. Choice A: Acute care"”medical-surgical unit may not provide the level of monitoring and intervention needed for a patient post lung lobe removal. Choice C: Ambulatory surgery is not suitable as this procedure requires more intensive monitoring and care. Choice D: Ambulatory surgery"”extended stay is not appropriate as an extended stay in an ambulatory setting may not have the resources to manage potential complications effectively.