ATI RN
Basics of Patient Care Questions
Question 1 of 5
The CHARTE method and SOAP method are two methods utilized by paramedics to complete the narrative portion of the patient care report. Which of the following is not a component of the CHARTE method?
Correct Answer: E
Rationale: Step 1: The CHARTE method includes components: Chief complaint, History, Assessment, Rx (treatment), Transport, and Evaluation. Step 2: Each letter in CHARTE represents a key component of the patient care report. Step 3: "Transport" is a component in the CHARTE method, ensuring patients are safely transported to the appropriate facility. Step 4: Therefore, "Transport" is a part of the CHARTE method. This makes option A incorrect. Step 5: As "Transport" is a component, the correct answer is E: Chief complaint, which is not part of the CHARTE method.
Question 2 of 5
A young man sustains a rifle wound to the mid-abdomen. The next, most appropriate step is to perform:
Correct Answer: A
Rationale: The correct answer is A: a laparotomy. This is the most appropriate step because a rifle wound to the mid-abdomen is a high-energy injury that can cause significant internal damage, such as bowel perforation or major blood vessel injury. A laparotomy allows for direct visualization of internal organs, identification, and repair of any injuries, and control of bleeding. An abdominal CT-scan (B) may delay necessary surgical intervention, while diagnostic laparoscopy (C) may not provide adequate access for effective treatment of severe injuries. Abdominal ultrasonography (D) is not typically indicated in the acute trauma setting for assessing internal abdominal injuries.
Question 3 of 5
All of the following signs on the chest x-ray of a blunt injury victim may suggest aortic rupture EXCEPT:
Correct Answer: A
Rationale: The correct answer is A: Mediastinal emphysema. In aortic rupture, air can leak into the mediastinum causing mediastinal emphysema. This suggests aortic injury. Choices B, C, and D are actually signs of aortic rupture. A "pleural cap" is seen in aortic rupture due to hemorrhage dissecting into the pleura. Obliteration of the aortic knob occurs due to aortic injury, and tracheal deviation to the right can occur due to a large hematoma pushing the trachea.
Question 4 of 5
A young man sustains a gunshot wound to the abdomen and is brought promptly to the ED by prehospital personnel. His skin is cool and diaphoretic, and he is confuse His pulse is thready and his femoral pulse is only weakly palpable. The definitive treatment in managing this patient is to
Correct Answer: C
Rationale: The correct answer is C: Control internal hemorrhage operatively. In this scenario, the young man's presentation suggests hypovolemic shock due to internal bleeding. Prompt surgical intervention to control the source of bleeding is crucial to stabilize the patient's condition. Administering blood (Choice A) may be necessary but addressing the hemorrhage source is the priority. External warming devices (Choice B) and pneumatic anti-shock garments (Choice D) are not appropriate in this situation as the primary concern is controlling the internal bleeding to prevent further deterioration.
Question 5 of 5
Healthy young male in a motor vehicle crash has a BP of 84/60 and pulse 123. After fluid resuscitation, the next step is:
Correct Answer: A
Rationale: The correct answer is A: "Placement of a pelvic binder." In a trauma scenario with hypotension and tachycardia, the priority is to address potential life-threatening hemorrhage. Pelvic binders stabilize pelvic fractures, reducing bleeding and improving hemodynamics. This intervention can be crucial in preventing further blood loss and stabilizing the patient's condition. The other choices are not immediate priorities. Transferring to a trauma center can be done after stabilizing the patient. Pelvic x-ray and urinary catheter insertion are important for further evaluation but not urgent in this critical situation.