ATI RN
Basic Nursing Care of a Neurosurgery Patient Questions
Question 1 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 2 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 3 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.
Question 4 of 5
You are working a respiratory arrest patient and have just successfully placed a combi-tube in your apneic patient. What should you do if the chest fails to rise appropriately and gastric sounds are present?
Correct Answer: C
Rationale: The correct answer is C: Remove the BVM from tube #1 and ventilate through tube #2. This is the correct action because the presence of gastric sounds indicates that the tube is likely in the esophagus, not the trachea. By removing the BVM from tube #1 and ventilating through tube #2, you are ventilating the patient's lungs directly, improving oxygenation. Choice A is incorrect because ventilating through tube #1 will not improve the patient's condition if the tube is in the esophagus. Choice B is incorrect because confirming placement with a CO2 detector before ventilating through tube #1 does not address the issue of gastric sounds indicating esophageal placement. Choice D is incorrect because pulling the combi-tube back 2 cm without addressing the issue of esophageal placement will not improve ventilation.
Question 5 of 5
Your suspected myocardial infarction patient has exhibited ST elevation in Leads II, III, aVF on the electrocardiogram. What area of the heart do you suspect is being damaged?
Correct Answer: B
Rationale: The correct answer is B: Inferior wall. ST elevation in Leads II, III, aVF indicates an inferior wall myocardial infarction, commonly caused by occlusion of the right coronary artery. Lead II views the inferior part of the heart, and Leads III/aVF view the inferior and posterior parts. This pattern suggests damage to the inferior wall supplied by the right coronary artery. Other choices are incorrect as ST elevation in these leads does not correspond to lateral (A), anterior (C), or septal (D) wall infarctions.