ATI RN
Basic Principles of Long-Term Patient Care Developing a Therapeutic Community Questions
Question 1 of 5
One important way to try to resolve a conflict is to
Correct Answer: C
Rationale: The correct answer is C: Consider a compromise. Compromise is essential in conflict resolution as it allows both parties to find a middle ground and reach a mutually beneficial solution. It promotes understanding, cooperation, and fosters positive relationships. Never meeting halfway (A) can lead to a deadlock in negotiations. Challenging policy (B) may escalate the conflict further. Antagonizing coworkers (D) will only worsen the situation and hinder any chances of resolving the conflict amicably. In summary, choosing a compromise is the most effective approach as it promotes cooperation and understanding among conflicting parties.
Question 2 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: This is done to compare and monitor for vital sign variation during transport. 1. Monitoring vital signs during transport is crucial to detect any changes or complications post-surgery. 2. Comparing pre-transport and post-transport vital signs helps in assessing the patient's stability. 3. Any significant variations in vital signs can indicate potential issues that need immediate attention. 4. This practice ensures continuity of care and promotes patient safety during transitions. Incorrect Choices: A: Completing a head-to-toe assessment is not the primary purpose of obtaining vital signs before transport. C: The medical-surgical nurse obtaining vital signs does not necessarily imply checking on the postoperative patient. D: Following hospital policy and procedure is important but does not specifically address the rationale for checking vital signs during transport.
Question 3 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 because pericardial tamponade can lead to jugular vein distension due to the increased pressure in the pericardium, which can impede blood flow back to the heart. Hemorrhagic shock, on the other hand, does not typically cause jugular vein distension. This difference in jugular vein distension is a key clinical finding to differentiate between the two conditions. Choice B is incorrect because cyanosis to the face, neck, and upper chest can be present in both pericardial tamponade and hemorrhagic shock, making it less specific for distinguishing between the two. Choice C is incorrect because pericardial tamponade can also lead to hypotension due to decreased cardiac output, while hemorrhagic shock can sometimes lead to compensatory hypertension in its early stages. Choice D is incorrect because the type of tachycardia (narrow vs. wide complex) is not a reliable or consistent finding to
Question 4 of 5
After assisting a full-term pregnant patient in the delivery of her newborn, the newborn remains bradycardic with a heart rate of 50 beats per minute and exhibits cyanosis around his mouth, nose, fingers, and toes. He is not responding well and appears lethargic following the five-minute APGAR assessment. What would be the best initial intervention at this point to increase his heart rate?
Correct Answer: A
Rationale: The correct answer is A: Deliver adequate artificial ventilation after ensuring a definitive airway. In this scenario, the newborn is bradycardic, cyanotic, and lethargic, indicating possible respiratory distress. The initial intervention should focus on improving oxygenation and ventilation. Providing adequate artificial ventilation after ensuring a definitive airway will help increase oxygen delivery to the newborn's tissues, which can improve the heart rate and overall condition. Epinephrine and vasopressors are not the first-line interventions for bradycardia in a neonate. Fast and hard chest compressions are not recommended as the first step in managing bradycardia in a newborn.
Question 5 of 5
While conducting an EKG on your post-myocardial infarction patient, you note the presence of consistently wide QRS complexes greater than 120 ms in duration. What does this most likely indicate?
Correct Answer: A
Rationale: The correct answer is A: An intraventricular conduction delay or right/left bundle branch block. Wide QRS complexes (>120 ms) indicate a delay in ventricular depolarization, typically due to conduction abnormalities like bundle branch blocks. In the context of a post-myocardial infarction patient, this finding is common and suggests a conduction issue rather than an acute infarction (choice C). Complete heart block (choice B) would show dissociation between atria and ventricles, not wider QRS complexes. Choice D is incorrect as wide QRS complexes in a post-MI patient require further evaluation and potential intervention.