ATI RN
Basic Nursing Care of a Neurosurgery Patient Questions
Question 1 of 5
Signs and symptoms of HIV/AIDS include
Correct Answer: A
Rationale: The correct answer is A: Bleeding gums. HIV/AIDS can weaken the immune system, leading to oral health issues such as bleeding gums. Pressure injuries, jaundice, and changes in moles are not typical signs or symptoms of HIV/AIDS. Bleeding gums can result from gum disease, a common oral manifestation in individuals with HIV/AIDS due to compromised immunity. Regular dental check-ups are essential for early detection and management.
Question 2 of 5
Something important that helps make a job interview successful is if the job applicant
Correct Answer: C
Rationale: The correct answer is C: Makes eye contact during the interview. Eye contact is essential for building rapport and showing confidence. It demonstrates attentiveness and credibility to the interviewer. It also signifies respect and genuine interest in the conversation. Incorrect answers: A: Exaggerating accomplishments can lead to dishonesty and harm credibility. B: Arriving on time is important, but arriving when the interview is starting is considered late. D: Bringing a family member for support is unprofessional and can give the impression of dependency or lack of confidence.
Question 3 of 5
The nurse is completing a medication history for the surgical patient in preadmission testing. Which medication should the nurse instruct the patient to hold (discontinue) in preparation for surgery according to protocol?
Correct Answer: A
Rationale: Step 1: Warfarin is an anticoagulant that increases the risk of bleeding during surgery. Step 2: Holding Warfarin helps normalize the patient's clotting ability before surgery. Step 3: This reduces the risk of excessive bleeding during and after the procedure. Step 4: Vitamin C, Prednisone, and Acetaminophen do not pose the same bleeding risk. Summary: Warfarin is the correct choice due to its anticoagulant properties, making it crucial to discontinue before surgery to minimize bleeding complications. Vitamin C, Prednisone, and Acetaminophen do not have the same impact on clotting and are safe to continue.
Question 4 of 5
The nurse is monitoring a patient in the postanesthesia care unit (PACU) for postoperative fluid and electrolyte imbalance. Which action will be most appropriate for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Measure and record all intake and output. This action is most appropriate for monitoring fluid and electrolyte balance in a postoperative patient as it helps to assess if the patient is receiving adequate fluids and excreting appropriately. By measuring and recording intake and output, the nurse can identify any imbalances and take necessary interventions. Encouraging copious amounts of water (A) without monitoring intake and output can lead to fluid overload or imbalance. Starting an additional IV line (B) may not be necessary if the patient's current IV is functioning properly. Weighing the patient and comparing with preoperative weight (D) is important but may not provide real-time information on fluid and electrolyte balance.
Question 5 of 5
You are treating an adult trauma patient who was thrown from a moving vehicle. Upon assessment, you find the patient is hypotensive, has absent breath sounds on the right, and has visible tracheal deviation. What should you do first?
Correct Answer: A
Rationale: The correct answer is A: Perform a needle decompression. Tracheal deviation indicates tension pneumothorax, a life-threatening condition that requires immediate decompression. Performing a needle decompression will release the trapped air in the pleural space and relieve the pressure on the heart and lungs, stabilizing the patient's condition. Administering a fluid bolus (B) is not the priority as the hypotension is likely due to the tension pneumothorax. Intubating the patient (C) may worsen the condition by increasing the intrathoracic pressure. Placing the patient on a cardiac monitor (D) is important but not as urgent as addressing the tension pneumothorax.