ATI RN
Basics of Patient Care Questions
Question 1 of 5
The intravenous infusion of nutrients bypassing the digestive tract is referred to as TPN which stands for
Correct Answer: D
Rationale: The correct answer is D: Total parenteral nutrition (TPN). "Parenteral" refers to delivering nutrients directly into the bloodstream, bypassing the digestive tract. This method is used when a patient cannot or should not receive nutrition through the gastrointestinal tract. Choices A, B, and C do not accurately describe the process of delivering nutrients intravenously. A: Total percutaneous nutrition is not a recognized term. B: Total peripheral nutrition inaccurately refers to delivering nutrients into the peripheral veins, not necessarily bypassing the digestive tract. C: Total portable nutrition is not a standard term in the medical field.
Question 2 of 5
The nurse is caring for a patient in preadmission testing. The patient has been assigned a physical status classification by the American Society of Anesthesiologists of ASA III. Which assessment will support this classification?
Correct Answer: C
Rationale: The correct answer is C because a patient with poorly controlled hypertension and an implanted pacemaker falls under ASA III classification due to significant systemic disease. This indicates a moderate to severe systemic disease that is not incapacitating but limits daily activity. Patients in this category require careful preoperative assessment and management. Choice A is incorrect as a normal, healthy patient would be classified as ASA I. Choice B is incorrect as denial of illnesses does not impact the ASA classification. Choice D is incorrect as it describes a patient in a moribund state, which would be classified as ASA IV or V.
Question 3 of 5
The nurse is concerned about the skin integrity of the patient in the intraoperative phase of surgery. Which action will the nurse take to minimize skin breakdown?
Correct Answer: B
Rationale: The correct answer is B: Securing attachments to the operating table with foam padding. This action helps distribute pressure and reduce the risk of skin breakdown by providing cushioning and support. Securing attachments with foam padding minimizes direct pressure on bony prominences, enhancing skin integrity. A: Encouraging the patient to bathe before surgery does not directly address skin breakdown prevention during the intraoperative phase. C: Periodically adjusting the patient during the surgical procedure may disrupt the surgical field and increase the risk of complications. D: Measuring the time a patient is in one position during surgery is important but does not actively prevent skin breakdown; it is more focused on monitoring positioning duration.
Question 4 of 5
Which of the following patients would most likely benefit from a needle decompression?
Correct Answer: C
Rationale: The correct answer is C because the patient presents with signs of tension pneumothorax, a life-threatening condition that can cause hypotension, jugular venous distention (JVD), and tracheal deviation. Needle decompression is the immediate intervention to release trapped air and restore lung function. Choices A, B, and D do not indicate a tension pneumothorax, so needle decompression would not be appropriate.
Question 5 of 5
Your adult patient is experiencing a prolonged episode of paroxysmal supraventricular tachycardia but remains stable at the present time. He denies chest pain, shortness of breath, and his skin is warm and dry. He has failed to convert to a normal sinus rhythm after receiving the max dosage of adenosine in succession. What is your next step?
Correct Answer: B
Rationale: Step 1: Assess the situation - Patient is currently stable without any concerning symptoms. Step 2: Review previous treatment - Patient failed to convert with max dosage of adenosine. Step 3: Choose the next appropriate medication - Procainamide is recommended for stable patients with ongoing SVT not responding to adenosine. Step 4: Administer procainamide - It is effective in converting SVT and has a longer duration of action compared to adenosine. Summary: A: Verapamil is contraindicated in patients with stable SVT as it can cause hypotension. C: While expert consultation is valuable, immediate action is needed to manage the ongoing SVT. D: Administering Adenocard again is not recommended as it has already been tried at max dosage.