ATI RN
Basic Principles of Long-Term Patient Care Developing a Therapeutic Community Questions
Question 1 of 5
One method of transmission of HIV is
Correct Answer: D
Rationale: The correct answer is D, sharing a drug needle with an infected person. HIV can be transmitted through blood-to-blood contact, and sharing needles can lead to direct exchange of infected blood. Kissing, shaking hands, or sharing utensils do not involve direct blood contact, making them unlikely modes of HIV transmission.
Question 2 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 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 (collapsed lung), and promote oxygenation. By utilizing diaphragmatic breathing, the nurse aims to prevent respiratory complications postoperatively. Managing pain (A) can be addressed through other interventions. While improving oxygenation may indirectly contribute to reducing healing time (C), the main goal is to prevent respiratory complications. Decreasing thrombus formation (D) is not directly related to diaphragmatic breathing.
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: 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 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 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