ATI RN
ARRT Practice Questions for Patient Care Questions
Question 1 of 5
Repositioning a resident on a mechanical ventilator must be done at least every
Correct Answer: B
Rationale: The correct answer is B: 4 hours. Repositioning a ventilated resident every 4 hours helps prevent pressure injuries, improves ventilation efficiency, and ensures optimal lung expansion. Repositioning too frequently can disrupt care and lead to infection risks. Choices A, C, and D are incorrect because repositioning every 5, 3, or 2 hours respectively may be too infrequent or excessive, compromising resident care and comfort.
Question 2 of 5
The nurse is encouraging a reluctant postoperative patient to deep breathe and cough. Which explanation can the nurse provide that may encourage the patient to comply?
Correct Answer: D
Rationale: The correct answer is D because deep breathing and coughing help clear out anesthesia, preventing postoperative complications. Deep breathing expands the lungs and increases oxygen levels, while coughing helps clear secretions and prevents pneumonia. Option A is incorrect because it instills fear without providing a direct benefit. Option B is incorrect as it downplays the importance of coughing. Option C is incorrect as clearing the throat does not provide the same benefits as deep breathing and coughing in postoperative patients.
Question 3 of 5
You are called to the scene where a 36-year-old male was shot in the back while running away from an assailant. While treating and attempting to stabilize the patient, what should be done with the clothing he was wearing?
Correct Answer: D
Rationale: The correct answer is D. Upon removing the patient's clothing, it should be placed in a paper bag along with the disposable latex gloves used. This is to preserve any potential evidence without contaminating it. Sealing the bag and listing the items ensures a proper chain of custody. Labeling the bag with relevant information helps in tracking and documenting the evidence. This method maintains the integrity of the evidence for forensic analysis. Choice A is incorrect because leaving the clothing on the side may risk contamination or loss of evidence. Choice B is incorrect as placing the clothing between the patient's legs can contaminate or compromise the evidence. Choice C is incorrect as sealing the plastic bag can trap moisture and compromise any biological evidence present.
Question 4 of 5
When involved in transporting a patient from the hospital (regardless of the destination), which of the following disease processes, along with HIV/AIDS, must be reported to the transporting crew members to prevent the accidental transmission of the disease?
Correct Answer: B
Rationale: The correct answer is B: Hepatitis and tuberculosis. Hepatitis and tuberculosis are infectious diseases that can be transmitted through respiratory droplets or bodily fluids. By reporting these diseases to the transporting crew members, proper precautions can be taken to prevent transmission to others. Shingles, pneumonia, ARDS, sepsis, syphilis, and gonorrhea are not typically transmitted through casual contact during patient transport, so they do not require specific preventive measures by the crew members.
Question 5 of 5
You are treating a 50-year-old male with a cardiac history currently complaining of chest pain. He is breathing at 20 times a minute, has an irregular heart rate of 136 beats per minute, and a blood pressure of 120/60. His twelve-lead-tracing indicates the presence of an ST-elevation myocardial infarction (STEMI). What makes the ST-elevation infarction treatment different from a non-STEMI patient's treatment?
Correct Answer: B
Rationale: The correct answer is B because in ST-elevation myocardial infarction (STEMI), prompt reperfusion therapy is crucial to minimize cardiac damage. As the patient has ST-elevation on the ECG, this indicates complete occlusion of a coronary artery, necessitating urgent treatment. Fibrinolytics can help dissolve the clot and restore blood flow, but timing is critical. Time is muscle in STEMI, so the door-to-balloon time or door-to-needle time should be minimized. Destination is also important as the patient needs to be transferred to a facility capable of performing percutaneous coronary intervention (PCI) if fibrinolytics are not available. Therefore, choice B is correct. Choices A and D are incorrect because non-ST elevation infarctions do not typically require fibrinolytics, and choice C is incorrect as fluid bolus is not a standard treatment for STEMI.