ATI RN
Basic Nursing Care Needs of the Patient PPT Questions
Question 1 of 5
The disappearance of signs and symptoms of cancer is called
Correct Answer: B
Rationale: The correct answer is B: Remission. Remission refers to the disappearance of signs and symptoms of cancer. It does not imply that cancer has been cured, but rather that the disease is under control. Metastasis (A) is the spread of cancer to other parts of the body. Breakthrough (C) typically refers to a sudden development or improvement, not the disappearance of cancer signs. Intervention (D) involves medical treatment or action taken to address a health issue, not the disappearance of cancer signs.
Question 2 of 5
The stage of dying in which a person prepares for death is identified as
Correct Answer: D
Rationale: The correct answer is D: Acceptance. This stage, according to Elisabeth Kubler-Ross' model of grief, involves coming to terms with one's mortality and making peace with death. During this stage, individuals may feel a sense of calmness and readiness for their impending death. Bargaining (A) involves seeking to negotiate or make deals to avoid death. Depression (B) is characterized by feelings of sadness and hopelessness about the impending death. Denial (C) is the initial stage where individuals refuse to accept the reality of their terminal illness. Acceptance (D) is the final stage where individuals have embraced their impending death and are at peace with it.
Question 3 of 5
During preoperative assessment for a 7:30 AM (0730) surgery, the nurse finds the patient drank a cup of coffee this morning. The nurse reports this information to the anesthesia provider. Which action does the nurse anticipate next?
Correct Answer: A
Rationale: The correct answer is A: A delay in or cancellation of surgery. Consuming coffee before surgery can lead to increased gastric fluid volume and acidity, potentially increasing the risk of aspiration during anesthesia induction. To minimize this risk, surgery may be delayed or canceled to allow time for the stomach to empty. Summary: B: Questions regarding components of the coffee - Irrelevant as the concern is the effect of coffee on gastric fluid. C: Additional questions about why the patient had coffee - Irrelevant, the focus is on the impact of coffee on surgery. D: Instructions to determine what education was provided in the preoperative visit - Irrelevant, the immediate concern is the impact of coffee on surgery.
Question 4 of 5
Your adult patient called for help after he began to vomit bright red blood. On arrival, the patient is found to be tachycardic and bleeding freely from his mouth. His respirations are shallow, and his skin is cool with a blood pressure of 68 systolic. His only history involves liver disease from chronic alcoholism. He denies drinking recently. What should be the goal of your pre-hospital intervention with this patient after ensuring his airway and applying oxygen therapy?
Correct Answer: A
Rationale: The correct answer is A: Fluid resuscitation to maintain a systolic blood pressure of 80-90 systolic. In this scenario, the patient is presenting signs of hypovolemic shock due to significant blood loss. The goal of fluid resuscitation is to restore intravascular volume and improve perfusion to vital organs. A systolic blood pressure of 80-90 is a reasonable target to ensure adequate perfusion without causing fluid overload. Choice B is too high of a target for this patient in shock. Choice C is not the immediate priority as controlling the hemorrhage comes first. Choice D is not the primary goal in this critical situation where maintaining blood pressure and perfusion are the priorities.
Question 5 of 5
A patient is experiencing a possible neurological emergency from a blunt force closed head injury. He is found to have abnormal pupillary reactions to light and has lost the ability to move his eyes from side to side to follow your finger movements. He is also unable to identify the number of fingers you are holding up. He reports he is able to see the fingers but is not able to focus enough to identify how many fingers are present. Which of the following cranial nerves should you suspect may be involved in his injury?
Correct Answer: D
Rationale: Step-by-step rationale: 1. Cranial nerve II (Optic nerve) is responsible for vision. Loss of ability to identify the number of fingers indicates optic nerve involvement. 2. Cranial nerve III (Oculomotor nerve) controls eye movements, including pupillary reactions. Abnormal pupillary reactions suggest its involvement. 3. Cranial nerve IV (Trochlear nerve) controls downward and inward eye movements. Inability to move eyes side to side implicates trochlear nerve. Summary: A: Cranial nerves I, V, and VI - Not relevant for the symptoms described. B: Cranial nerves V and VII - Cranial nerve VII (Facial nerve) is not involved in eye movements or vision. C: Cranial nerves IX and X - Not related to vision or eye movements. D: Cranial nerves II, III, and IV - Correct as all three nerves are implicated in the patient's symptoms.