ATI RN
Basic Nursing Care of the Patient Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A patient in cardiac arrest is being resuscitated. You identify ventricular fibrillation on the cardiac monitor. CPR is ongoing. What is the next immediate intervention?
Correct Answer: B
Rationale: The correct immediate intervention is to perform a defibrillation shock (Choice B). Ventricular fibrillation is a shockable rhythm, meaning it requires immediate defibrillation to restore normal heart rhythm. Defibrillation is the first-line treatment for ventricular fibrillation during cardiac arrest, as it aims to depolarize the heart and allow the normal pacemaker cells to resume control. Administering epinephrine (Choice A) is important but should follow defibrillation. Establishing an advanced airway (Choice C) and administering amiodarone (Choice D) are secondary interventions after achieving successful defibrillation.
Question 5 of 5
You are assessing a patient with an altered mental status and has a diabetic history. Which of the following would most likely indicate the patient is suffering from diabetic ketoacidosis?
Correct Answer: D
Rationale: The correct answer is D because the patient is showing signs of dehydration and metabolic imbalance characteristic of diabetic ketoacidosis. Dry skin and mucous membranes, along with increased thirst and frequent urination, are indicative of dehydration due to high blood sugar levels. Hypotension could be due to dehydration and electrolyte imbalances. Shallow rapid respirations are a compensatory mechanism for metabolic acidosis. Choices A, B, and C do not align with the typical presentation of diabetic ketoacidosis, as they do not include the key signs of dehydration, metabolic acidosis, and electrolyte imbalances seen in this condition.