ATI RN
A Review of Basic Patient Rights in Psychiatric Care Questions
Question 1 of 5
The nurse has administered a preoperative medication to the patient going to surgery. Which action will the nurse take next?
Correct Answer: B
Rationale: The correct answer is B because after administering preoperative medication, the nurse's priority is to ensure the patient's safety and well-being. Instructing the patient to call for help to go to the restroom is important to prevent any accidents or falls due to the medication's effects. A: Notifying the operating suite is not the immediate priority after administering medication. C: Wasting unused medication is important but can be done after ensuring patient safety. D: Asking the patient to sign the consent for surgery is important but should not be the immediate next step after medication administration.
Question 2 of 5
You are cleaning the back of the truck after transporting a trauma patient to the emergency department. Which of the following contaminated items should not be placed in a plastic biohazard bag?
Correct Answer: A
Rationale: The correct answer is A: Plastic IV catheter. The reason is that plastic IV catheters are considered sharp objects and should not be placed in a plastic biohazard bag to prevent accidental needle-stick injuries. Instead, they should be disposed of in a designated sharps container. Nasopharyngeal or oral airway, French suction catheter, and blood-soaked gauze pads can be placed in a plastic biohazard bag as they do not pose the same risk of needle-stick injuries.
Question 3 of 5
You are called to assist a pregnant female in the 24th week gestation period according to her due date. The pale 26-year-old patient is found supine in bed, complaining of dizziness/weakness with extreme nausea. The patient denies vaginal bleeding, amniotic fluid leakage, or abdominal pain. There are no signs of imminent birth or active labor. She reports receiving normal prenatal care with no associated problems found during the pregnancy. Her heart rate is 126-130 beats per minute; her blood pressure is 80 mmHg systolic while her skin is cool and pale. Which of the following conditions is most likely to cause the patient's presentation?
Correct Answer: C
Rationale: The correct answer is C: Supine hypotension. When a pregnant woman lies flat on her back (supine position), the weight of the uterus can compress the inferior vena cava, reducing blood flow to the heart, leading to hypotension and decreased cardiac output. This can cause symptoms like dizziness, weakness, and nausea. In this case, the patient's symptoms of dizziness, weakness, and hypotension are consistent with supine hypotension due to compression of the vena cava. Choices A, B, and D are incorrect for this scenario because uterine rupture, spontaneous abortion, and placenta previa typically present with different symptoms and are not related to the patient's current presentation.
Question 4 of 5
Your adult status asthmaticus patient requires rapid sequence intubation due to rapidly increasing airway constriction. Which of the following would be most appropriate following tube placement confirmation?
Correct Answer: B
Rationale: The correct answer is B: 2-5 mg of albuterol administered directly down the endotracheal (ET) tube. This is because albuterol is a beta-2 adrenergic agonist that helps to relax bronchial smooth muscles quickly, providing immediate relief in cases of severe airway constriction like in status asthmaticus. Administering it directly down the ET tube ensures rapid delivery to the lungs. Option A is incorrect as levalbuterol is a more potent form of albuterol and may cause adverse effects in high doses. Option C involves nebulizing albuterol which would be slower compared to direct administration. Option D provides a lower dose of levalbuterol, which may not be as effective in a critical situation.
Question 5 of 5
You are called to assist an adult female with a possible allergic reaction. You arrive to find a 22-year-old patient who is just beginning to have difficulty breathing. She has itching, urticaria, and hives after a bee-sting. During the possible allergic reaction, what is occurring at the cellular level?
Correct Answer: D
Rationale: Rationale: 1. Mast cells play a key role in allergic reactions by releasing histamines and other inflammatory mediators. 2. When triggered by an allergen like a bee-sting, mast cells degranulate, releasing histamines and serotonin. 3. Histamines cause vasodilation and increased vascular permeability, leading to itching, hives, and urticaria. 4. Serotonin contributes to smooth muscle contraction and bronchoconstriction, leading to difficulty breathing. 5. Therefore, choice D is correct as it accurately describes the cellular events in an allergic reaction. Summary: A, B, and C are incorrect because they do not accurately depict the cellular processes involved in an allergic reaction. A does not mention degranulation, B focuses on a hypermetabolic state unrelated to allergies, and C refers to anaerobic metabolism which is not the primary mechanism in allergic reactions.